| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $338.65 | $428.10 | $612.52 |
Cigna
| Facility | 26 | $391.04 | $391.04 | $391.04 |
MVP Health Care
| Facility | 26 | $391.04 | $391.04 | $391.04 |
Univera
| Facility | 26 | $465.99 | $465.99 | $1,193.01 |