| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $11.48 | $18.84 | $29.95 |
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 | $43.37 |