| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $376.20 | $523.19 | $990.70 |
Cigna
| Facility | 26 | $476.00 | $476.00 | $476.00 |
MVP Health Care
| Facility | 26 | $476.00 | $476.00 | $476.00 |
Univera
| Facility | 26 | $579.07 | $579.07 | $779.10 |