| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $70.70 | $87.33 | $209.91 |
Cigna
| Facility | 26 | $84.17 | $84.17 | $84.17 |
MVP Health Care
| Facility | 26 | $84.17 | $84.17 | $84.17 |
Univera
| Facility | 26 | $100.37 | $100.37 | $287.07 |