| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $11.98 | $20.19 | $33.11 |
Cigna
| Facility | 26 | $16.57 | $16.57 | $16.57 |
MVP Health Care
| Facility | 26 | $16.57 | $16.57 | $16.57 |
Univera
| Facility | 26 | $16.88 | $16.88 | $48.15 |