| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.11 | $49.27 | $109.46 |
Cigna
| Facility | 26 | $38.02 | $38.02 | $38.02 |
MVP Health Care
| Facility | 26 | $38.02 | $38.02 | $38.02 |
Univera
| Facility | 26 | $35.52 | $35.52 | $119.53 |