| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $784.59 | $1,467.00 | $2,830.21 | |
Anthem BCBS
| Facility | $4,100.00 | $7,264.00 | $12,274.00 | |
CDPHP
| Facility | $916.11 | $4,275.50 | $16,534.50 | |
Emblem Health
| Facility | $332.00 | $687.20 | $1,673.39 | |
MVP Health Care
| Facility | $555.00 | $5,855.00 | $74,999.25 | |
Univera
| Facility | $841.91 | $841.91 | $2,237.25 |