| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.39 | $24.70 | $56.62 |
Cigna
| Facility | 26 | $19.67 | $19.67 | $19.67 |
MVP Health Care
| Facility | 26 | $19.67 | $19.67 | $19.67 |
Univera
| Facility | 26 | $18.39 | $18.39 | $51.22 |