| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.79 | $32.88 | $52.79 |
Cigna
| Facility | 26 | $25.91 | $25.91 | $25.91 |
MVP Health Care
| Facility | 26 | $25.91 | $25.91 | $25.91 |
Univera
| Facility | 26 | $24.26 | $24.26 | $48.71 |