| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $13.93 | $16.79 | $31.40 |
Cigna
| Facility | 26 | $15.01 | $15.01 | $15.01 |
MVP Health Care
| Facility | 26 | $15.01 | $15.01 | $15.01 |
Univera
| Facility | 26 | $15.29 | $15.29 | $58.44 |