| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $89.89 | $89.89 | $111.11 | |
CDPHP
| Facility | $95.39 | $95.39 | $95.39 | |
CDPHP
| Professional | $95.39 | $95.39 | $128.81 | |
Cigna
| Professional | $193.04 | $321.44 | $438.72 | |
MVP Health Care
| Professional | $30.00 | $30.90 | $180.79 |