| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $172.81 | $231.91 | $597.09 |
Cigna
| Facility | 26 | $208.08 | $208.08 | $208.08 |
MVP Health Care
| Facility | 26 | $208.08 | $208.08 | $208.08 |
Univera
| Facility | 26 | $193.81 | $193.81 | $558.12 |