| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $179.33 | $179.33 | $224.16 | |
CDPHP
| Facility | $228.94 | $228.94 | $240.39 | |
CDPHP
| Professional | $228.94 | $228.94 | $228.94 | |
MVP Health Care
| Professional | $224.16 | $259.10 | $327.25 | |
Univera
| Facility | $192.95 | $192.95 | $192.95 | |
Univera
| Professional | $192.95 | $192.95 | $199.15 |