| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.41 | $30.98 | $51.66 |
Cigna
| Facility | 26 | $25.18 | $25.18 | $25.18 |
MVP Health Care
| Facility | 26 | $25.18 | $25.18 | $25.18 |
Univera
| Facility | 26 | $25.57 | $25.57 | $77.30 |