| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $126.26 | $126.26 | $157.57 | |
CDPHP
| Facility | $140.78 | $140.78 | $140.78 | |
CDPHP
| Professional | $140.78 | $140.78 | $182.80 | |
Cigna
| Professional | $285.50 | $458.29 | $618.12 | |
MVP Health Care
| Professional | $40.00 | $50.00 | $260.94 |