| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $42.15 | $56.08 | $73.45 |
Cigna
| Facility | 26 | $46.26 | $46.26 | $46.26 |
MVP Health Care
| Facility | 26 | $46.26 | $46.26 | $46.26 |
Univera
| Facility | 26 | $47.57 | $47.57 | $120.37 |