| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $14.32 | $30.16 | $48.78 |
Cigna
| Facility | 26 | $23.56 | $23.56 | $23.56 |
MVP Health Care
| Facility | 26 | $23.56 | $23.56 | $23.56 |
Univera
| Facility | 26 | $22.06 | $22.06 | $71.43 |