| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $255.73 | $326.20 | $470.46 |
Cigna
| Facility | 26 | $303.67 | $303.67 | $303.67 |
MVP Health Care
| Facility | 26 | $303.67 | $303.67 | $303.67 |
Univera
| Facility | 26 | $481.68 | $481.68 | $1,372.34 |