| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.69 | $32.53 | $52.46 |
Cigna
| Facility | 26 | $26.26 | $26.26 | $26.26 |
MVP Health Care
| Facility | 26 | $26.26 | $26.26 | $26.26 |
Univera
| Facility | 26 | $24.61 | $24.61 | $78.53 |