| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,516.00 | $4,308.00 | $9,868.00 | |
Aetna
| Professional | $1,544.00 | $6,593.00 | $10,686.00 | |
Anthem BCBS
| Facility | $1,691.00 | $3,382.00 | $4,707.00 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
CDPHP
| Facility | $2,071.00 | $2,071.00 | $6,213.00 | |
Cigna
| Facility | $14,648.00 | $14,648.00 | $14,648.00 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
United
| Facility | $1,283.00 | $2,597.00 | $4,633.00 |