| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $154.68 | $200.71 | $285.61 |
Cigna
| Facility | 26 | $181.80 | $181.80 | $181.80 |
MVP Health Care
| Facility | 26 | $181.80 | $181.80 | $181.80 |
Univera
| Facility | 26 | $186.11 | $186.11 | $608.05 |