| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.38 | $46.33 | $74.61 |
Cigna
| Facility | 26 | $35.96 | $35.96 | $35.96 |
MVP Health Care
| Facility | 26 | $35.96 | $35.96 | $35.96 |
Univera
| Facility | 26 | $33.65 | $33.65 | $110.14 |