| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $368.12 | $484.36 | $697.04 |
Cigna
| Facility | 26 | $442.02 | $442.02 | $442.02 |
MVP Health Care
| Facility | 26 | $442.02 | $442.02 | $442.02 |
Univera
| Facility | 26 | $696.63 | $696.63 | $2,109.27 |