| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.94 | $46.98 | $90.96 |
Cigna
| Facility | 26 | $36.35 | $36.35 | $36.35 |
MVP Health Care
| Facility | 26 | $36.35 | $36.35 | $36.35 |
Univera
| Facility | 26 | $34.10 | $34.10 | $112.42 |