| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $80.84 | $80.84 | $101.05 | |
CDPHP
| Facility | $83.62 | $83.62 | $87.80 | |
CDPHP
| Professional | $83.62 | $83.62 | $83.62 | |
MVP Health Care
| Professional | $71.68 | $104.06 | $139.24 | |
Univera
| Facility | $46.68 | $46.68 | $46.68 | |
Univera
| Professional | $46.68 | $46.68 | $50.69 |