| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.77 | $69.20 | $125.39 |
Cigna
| Facility | 26 | $53.38 | $53.38 | $53.38 |
MVP Health Care
| Facility | 26 | $53.38 | $53.38 | $53.38 |
Univera
| Facility | 26 | $49.89 | $49.89 | $173.54 |