| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.53 | $38.38 | $60.74 |
Cigna
| Facility | 26 | $30.17 | $30.17 | $30.17 |
MVP Health Care
| Facility | 26 | $30.17 | $30.17 | $30.17 |
Univera
| Facility | 26 | $28.18 | $28.18 | $91.58 |