| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $372.15 | $476.58 | $681.88 |
Cigna
| Facility | 26 | $428.95 | $428.95 | $428.95 |
MVP Health Care
| Facility | 26 | $428.95 | $428.95 | $428.95 |
Univera
| Facility | 26 | $680.31 | $680.31 | $2,067.15 |