| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $57.54 | $57.54 | $72.44 | |
CDPHP
| Facility | $51.29 | $51.29 | $51.29 | |
CDPHP
| Professional | $51.29 | $51.29 | $79.43 | |
Cigna
| Professional | $75.86 | $138.04 | $239.88 | |
United
| Professional | $12.02 | $28.84 | $63.10 |