| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.23 | $50.05 | $78.34 |
Cigna
| Facility | 26 | $38.68 | $38.68 | $38.68 |
MVP Health Care
| Facility | 26 | $38.68 | $38.68 | $38.68 |
Univera
| Facility | 26 | $36.11 | $36.11 | $129.44 |