| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $51.74 | $75.86 | $105.12 |
Cigna
| Facility | 26 | $62.21 | $62.21 | $62.21 |
Excellus BCBS
| Facility | 26 | $51.38 | $51.38 | $51.38 |
MVP Health Care
| Facility | 26 | $62.21 | $62.21 | $62.21 |
Univera
| Facility | 26 | $75.63 | $75.63 | $231.73 |