| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.27 | $34.06 | $53.68 |
Cigna
| Facility | 26 | $26.68 | $26.68 | $26.68 |
MVP Health Care
| Facility | 26 | $26.68 | $26.68 | $26.68 |
Univera
| Facility | 26 | $26.77 | $26.77 | $82.83 |