| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $16.87 | $36.72 | $66.61 |
Cigna
| Facility | 26 | $28.31 | $28.31 | $28.31 |
MVP Health Care
| Facility | 26 | $28.31 | $28.31 | $28.31 |
Univera
| Facility | 26 | $26.47 | $26.47 | $89.13 |