| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $37.38 | $49.34 | $69.12 |
Cigna
| Facility | 26 | $43.62 | $43.62 | $43.62 |
MVP Health Care
| Facility | 26 | $43.62 | $43.62 | $43.62 |
Univera
| Facility | 26 | $45.04 | $45.04 | $141.88 |