| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $112.50 | $290.75 | $700.23 |
Cigna
| Facility | 26 | $226.44 | $226.44 | $226.44 |
MVP Health Care
| Facility | 26 | $226.44 | $226.44 | $226.44 |
Univera
| Facility | 26 | $211.71 | $211.71 | $595.82 |