| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.75 | $3,326.00 | $7,343.00 | |
CDPHP
| Facility | $108.03 | $108.03 | $16,534.50 | |
Cigna
| Facility | $85.75 | $85.75 | $10,297.11 | |
Emblem Health
| Facility | $82.72 | $186.12 | $332.00 | |
MVP Health Care
| Facility | $85.75 | $597.00 | $10,297.11 | |
United
| Facility | $1,079.00 | $2,826.00 | $4,851.00 | |
Univera
| Facility | $81.13 | $81.13 | $158.37 |