| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.30 | $2,626.00 | $7,307.00 | |
Anthem BCBS
| Facility | $4,100.00 | $7,264.00 | $12,274.00 | |
CDPHP
| Facility | $188.90 | $188.90 | $8,917.50 | |
Cigna
| Facility | $244.66 | $244.66 | $14,648.00 | |
Emblem Health
| Facility | $87.66 | $179.70 | $378.81 | |
MVP Health Care
| Facility | $244.66 | $244.66 | $74,999.25 | |
United
| Facility | $1,283.00 | $2,597.00 | $4,583.00 | |
Univera
| Facility | $151.91 | $151.91 | $179.18 |