| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $301.83 | $372.69 | $545.39 |
Cigna
| Facility | 26 | $348.35 | $348.35 | $348.35 |
MVP Health Care
| Facility | 26 | $348.35 | $348.35 | $348.35 |
Univera
| Facility | 26 | $414.97 | $414.97 | $1,063.76 |