| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $13.13 | $13.13 | $13.13 | |
CDPHP
| Facility | $18.50 | $18.50 | $18.50 | |
CDPHP
| Professional | $18.50 | $18.50 | $20.41 | |
Cigna
| Professional | $22.37 | $24.78 | $31.16 | |
MVP Health Care
| Professional | $12.64 | $12.64 | $34.71 |