| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.29 | $42.34 | $89.29 |
Cigna
| Facility | 26 | $44.41 | $44.41 | $44.41 |
MVP Health Care
| Facility | 26 | $44.41 | $44.41 | $44.41 |
Univera
| Facility | 26 | $45.40 | $45.40 | $86.55 |