| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $120.59 | $159.94 | $228.84 |
Cigna
| Facility | 26 | $142.61 | $142.61 | $142.61 |
MVP Health Care
| Facility | 26 | $142.61 | $142.61 | $142.61 |
Univera
| Facility | 26 | $173.38 | $173.38 | $542.29 |