| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.00 | $5,845.00 | $10,686.00 | |
CDPHP
| Facility | $18.68 | $5,064.50 | $15,193.50 | |
Cigna
| Facility | $15.32 | $15.32 | $7,227.90 | |
Emblem Health
| Facility | $13.73 | $22.01 | $332.00 | |
MVP Health Care
| Facility | $15.32 | $15.32 | $18,457.00 | |
Univera
| Facility | $14.17 | $14.17 | $14.17 |