| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $42.22 | $91.54 | $146.58 |
Cigna
| Facility | 26 | $72.19 | $72.19 | $72.19 |
MVP Health Care
| Facility | 26 | $72.19 | $72.19 | $72.19 |
Univera
| Facility | 26 | $67.53 | $67.53 | $161.99 |