| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $317.72 | $417.00 | $584.65 |
Cigna
| Facility | 26 | $369.73 | $369.73 | $369.73 |
MVP Health Care
| Facility | 26 | $369.73 | $369.73 | $369.73 |
Univera
| Facility | 26 | $380.98 | $380.98 | $1,167.77 |