| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.39 | $176.39 | $176.39 | |
CDPHP
| Facility | $279.89 | $279.89 | $279.89 | |
Cigna
| Facility | $212.02 | $212.02 | $212.02 | |
Emblem Health
| Facility | $187.67 | $187.67 | $428.90 | |
MVP Health Care
| Facility | $212.02 | $212.02 | $597.00 |