| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $92.16 | $125.00 | $176.13 |
Cigna
| Facility | 26 | $85.69 | $85.69 | $85.69 |
MVP Health Care
| Facility | 26 | $85.69 | $85.69 | $85.69 |
Univera
| Facility | 26 | $80.23 | $80.23 | $97.11 |