| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $13.73 | $22.10 | $62.14 |
Cigna
| Facility | 26 | $17.75 | $17.75 | $17.75 |
MVP Health Care
| Facility | 26 | $17.75 | $17.75 | $17.75 |
Univera
| Facility | 26 | $18.17 | $18.17 | $53.70 |