| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $91.20 | $91.20 | $112.20 | |
CDPHP
| Facility | $125.89 | $125.89 | $125.89 | |
CDPHP
| Professional | $125.89 | $125.89 | $134.90 | |
Cigna
| Professional | $169.82 | $263.03 | $416.87 | |
United
| Professional | $64.57 | $95.50 | $131.83 |