| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.98 | $33.71 | $54.40 |
Cigna
| Facility | 26 | $26.71 | $26.71 | $26.71 |
MVP Health Care
| Facility | 26 | $26.71 | $26.71 | $26.71 |
Univera
| Facility | 26 | $25.00 | $25.00 | $82.13 |