| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.10 | $42.72 | $1,591.16 | |
CDPHP
| Facility | $46.30 | $46.30 | $46.30 | |
Cigna
| Facility | $36.29 | $36.29 | $14,648.00 | |
Emblem Health
| Facility | $17.00 | $39.22 | $332.00 | |
MVP Health Care
| Facility | $36.29 | $36.29 | $597.00 | |
Univera
| Facility | $37.36 | $37.36 | $68.70 |