| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $13.68 | $23.03 | $37.86 |
Cigna
| Facility | 26 | $18.52 | $18.52 | $18.52 |
MVP Health Care
| Facility | 26 | $18.52 | $18.52 | $18.52 |
Univera
| Facility | 26 | $18.87 | $18.87 | $54.92 |