| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $13.95 | $30.63 | $48.83 |
Cigna
| Facility | 26 | $23.60 | $23.60 | $23.60 |
MVP Health Care
| Facility | 26 | $23.60 | $23.60 | $23.60 |
Univera
| Facility | 26 | $22.08 | $22.08 | $72.63 |