| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $231.30 | $289.81 | $658.95 |
Cigna
| Facility | 26 | $264.70 | $264.70 | $264.70 |
MVP Health Care
| Facility | 26 | $264.70 | $264.70 | $264.70 |
Univera
| Facility | 26 | $315.36 | $315.36 | $825.03 |