| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $306.95 | $387.40 | $875.55 |
Cigna
| Facility | 26 | $353.36 | $353.36 | $353.36 |
MVP Health Care
| Facility | 26 | $353.36 | $353.36 | $353.36 |
Univera
| Facility | 26 | $420.99 | $420.99 | $1,082.04 |