| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $98.22 | $116.95 | $144.94 |
Cigna
| Facility | 26 | $91.51 | $91.51 | $91.51 |
MVP Health Care
| Facility | 26 | $91.51 | $91.51 | $91.51 |
Univera
| Facility | 26 | $145.07 | $145.07 | $577.01 |