| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $15.80 | $34.54 | $55.18 |
Cigna
| Facility | 26 | $27.06 | $27.06 | $27.06 |
MVP Health Care
| Facility | 26 | $27.06 | $27.06 | $27.06 |
Univera
| Facility | 26 | $25.35 | $25.35 | $82.13 |