| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $177.38 | $232.27 | $305.42 |
Cigna
| Facility | 26 | $194.40 | $194.40 | $194.40 |
MVP Health Care
| Facility | 26 | $194.40 | $194.40 | $194.40 |
Univera
| Facility | 26 | $199.02 | $199.02 | $549.24 |