| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $24.57 | $51.85 | $84.89 |
Cigna
| Facility | 26 | $41.12 | $41.12 | $41.12 |
MVP Health Care
| Facility | 26 | $41.12 | $41.12 | $41.12 |
Univera
| Facility | 26 | $37.50 | $37.50 | $124.31 |