| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.71 | $43.07 | $70.63 |
Cigna
| Facility | 26 | $34.02 | $34.02 | $34.02 |
MVP Health Care
| Facility | 26 | $34.02 | $34.02 | $34.02 |
Univera
| Facility | 26 | $31.82 | $31.82 | $103.02 |