| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.38 | $181.21 | $185.24 | |
Anthem BCBS
| Facility | $4,989.00 | $10,355.00 | $24,288.00 | |
Anthem BCBS
| Professional | $87.91 | $111.47 | $606.63 | |
CDPHP
| Facility | $155.66 | $155.66 | $37,499.62 | |
CDPHP
| Professional | $155.66 | $155.66 | $155.66 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
United
| Professional | $113.63 | $167.39 | $821.78 |