| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $150.05 | $197.11 | $282.01 |
Cigna
| Facility | 26 | $177.42 | $177.42 | $177.42 |
MVP Health Care
| Facility | 26 | $177.42 | $177.42 | $177.42 |
Univera
| Facility | 26 | $281.51 | $281.51 | $830.94 |