| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.37 | $2,920.00 | $7,563.00 | |
Anthem BCBS
| Facility | $1,691.00 | $3,382.00 | $4,707.00 | |
CDPHP
| Facility | $211.61 | $1,254.00 | $4,050.00 | |
Cigna
| Facility | $235.08 | $235.08 | $14,648.00 | |
Emblem Health
| Facility | $128.00 | $209.50 | $365.11 | |
MVP Health Care
| Facility | $235.08 | $555.00 | $74,999.25 | |
United
| Facility | $964.00 | $2,826.00 | $4,851.00 | |
Univera
| Facility | $145.88 | $145.88 | $539.91 |