| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $344.97 | $5,228.00 | $11,609.00 | |
Anthem BCBS
| Facility | $2,393.00 | $4,123.00 | $9,074.00 | |
CDPHP
| Facility | $324.98 | $324.98 | $8,917.50 | |
Cigna
| Facility | $259.92 | $259.92 | $13,296.25 | |
Emblem Health
| Facility | $250.00 | $355.00 | $610.00 | |
MVP Health Care
| Facility | $259.92 | $597.00 | $74,999.25 | |
United
| Facility | $1,657.00 | $3,146.00 | $5,254.00 | |
Univera
| Facility | $285.27 | $285.27 | $539.22 |