| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $88.51 | $113.70 | $213.26 |
Cigna
| Facility | 26 | $106.02 | $106.02 | $106.02 |
MVP Health Care
| Facility | 26 | $106.02 | $106.02 | $106.02 |
Univera
| Facility | 26 | $126.33 | $126.33 | $358.74 |