| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $157.44 | $205.92 | $386.33 |
Cigna
| Facility | 26 | $188.78 | $188.78 | $188.78 |
MVP Health Care
| Facility | 26 | $188.78 | $188.78 | $188.78 |
Univera
| Facility | 26 | $299.37 | $299.37 | $851.56 |