| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $120.20 | $120.20 | $150.50 | |
CDPHP
| Facility | $168.92 | $168.92 | $168.92 | |
CDPHP
| Professional | $168.92 | $168.92 | $180.38 | |
Cigna
| Professional | $314.32 | $518.91 | $590.40 | |
MVP Health Care
| Professional | $351.04 | $458.74 | $590.40 |