| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $590.36 | $737.30 | $1,380.56 |
Cigna
| Facility | 26 | $688.24 | $688.24 | $688.24 |
MVP Health Care
| Facility | 26 | $688.24 | $688.24 | $688.24 |
Univera
| Facility | 26 | $1,091.29 | $1,091.29 | $3,235.29 |