| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.40 | $2,660.00 | $7,343.00 | |
Anthem BCBS
| Facility | $1,691.00 | $3,382.00 | $4,707.00 | |
CDPHP
| Facility | $127.83 | $1,254.00 | $4,050.00 | |
Cigna
| Facility | $152.33 | $152.33 | $14,648.00 | |
Cigna
| Facility | AS | $15.23 | $15.23 | $15.23 |
Emblem Health
| Facility | $52.00 | $107.28 | $332.00 | |
MVP Health Care
| Facility | $152.33 | $555.00 | $74,999.25 | |
MVP Health Care
| Facility | AS | $15.23 | $15.23 | $15.23 |
United
| Facility | $964.00 | $2,826.00 | $4,851.00 | |
Univera
| Facility | $94.60 | $94.60 | $269.32 |