| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.78 | $91.59 | $102.27 | |
CDPHP
| Facility | $144.40 | $144.40 | $144.40 | |
Cigna
| Facility | $119.39 | $119.39 | $119.39 | |
Emblem Health
| Facility | $67.00 | $137.03 | $332.00 | |
MVP Health Care
| Facility | $119.39 | $555.00 | $74,999.25 | |
Univera
| Facility | $112.94 | $112.94 | $112.94 |