| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $11.56 | $25.36 | $40.25 |
Cigna
| Facility | 26 | $19.72 | $19.72 | $19.72 |
MVP Health Care
| Facility | 26 | $19.72 | $19.72 | $19.72 |
Univera
| Facility | 26 | $18.42 | $18.42 | $30.94 |