| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $796.00 | $796.00 | $884.00 | |
CDPHP
| Facility | $101.75 | $101.75 | $101.75 | |
Cigna
| Facility | $81.84 | $81.84 | $81.84 | |
Emblem Health
| Facility | $42.00 | $42.00 | $42.00 | |
MVP Health Care
| Facility | $81.84 | $81.84 | $81.84 | |
United
| Facility | $609.62 | $1,500.00 | $3,000.00 |