| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $12.45 | $21.65 | $40.21 |
Cigna
| Facility | 26 | $19.39 | $19.39 | $19.39 |
MVP Health Care
| Facility | 26 | $19.39 | $19.39 | $19.39 |
Univera
| Facility | 26 | $18.17 | $18.17 | $61.95 |