| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $79.37 | $104.26 | $146.78 |
Cigna
| Facility | 26 | $92.58 | $92.58 | $92.58 |
MVP Health Care
| Facility | 26 | $92.58 | $92.58 | $92.58 |
Univera
| Facility | 26 | $95.65 | $95.65 | $314.52 |