| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $589.60 | $6,617.00 | $15,890.00 | |
Anthem BCBS
| Facility | $5,016.00 | $10,830.00 | $26,158.00 | |
CDPHP
| Facility | $611.33 | $611.33 | $37,499.62 | |
Cigna
| Facility | $499.64 | $499.64 | $7,227.90 | |
Cigna
| Facility | AS | $48.13 | $48.13 | $48.13 |
Emblem Health
| Facility | $332.00 | $660.39 | $2,681.18 | |
MVP Health Care
| Facility | $499.64 | $597.00 | $74,999.25 | |
MVP Health Care
| Facility | AS | $48.13 | $48.13 | $48.13 |
United
| Facility | $1,749.00 | $4,194.00 | $9,300.00 | |
Univera
| Facility | $541.59 | $541.59 | $642.29 |