| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.32 | $33.08 | $70.95 |
Cigna
| Facility | 26 | $29.95 | $29.95 | $29.95 |
MVP Health Care
| Facility | 26 | $29.95 | $29.95 | $29.95 |
Univera
| Facility | 26 | $27.97 | $27.97 | $94.49 |