| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $97.41 | $125.00 | $177.29 |
Cigna
| Facility | 26 | $90.01 | $90.01 | $90.01 |
MVP Health Care
| Facility | 26 | $90.01 | $90.01 | $90.01 |
Univera
| Facility | 26 | $84.19 | $84.19 | $102.32 |