| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.68 | $25.69 | $42.03 |
Cigna
| Facility | 26 | $20.53 | $20.53 | $20.53 |
MVP Health Care
| Facility | 26 | $20.53 | $20.53 | $20.53 |
Univera
| Facility | 26 | $20.80 | $20.80 | $61.88 |