| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.26 | $42.55 | $88.71 |
Cigna
| Facility | 26 | $38.40 | $38.40 | $38.40 |
MVP Health Care
| Facility | 26 | $38.40 | $38.40 | $38.40 |
Univera
| Facility | 26 | $35.89 | $35.89 | $72.28 |