| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $208.93 | $691.83 | |
CDPHP
| Facility | $35.48 | $35.48 | $35.48 | |
Cigna
| Facility | $39.81 | $39.81 | $53,703.18 | |
Emblem Health
| Facility | $23.44 | $30.90 | $83.18 | |
MVP Health Care
| Facility | $50,118.72 | $53,703.18 | $75,857.76 | |
United
| Facility | $645.65 | $933.25 | $1,174.90 | |
Univera
| Facility | $19.95 | $19.95 | $26.92 |