Price of Vein Injection Therapy at NYU Langone
Last Updated: 2024-07-01
Locations
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NYU Langone|Tisch Hospital
550 1st Ave., New York, NY 10016About Vein Injection Therapy
Service Codes: CPT 36471, LOCAL 2020474
This procedure involves the injection of medication directly into the veins to treat various conditions, such as varicose veins or venous insufficiency, improving blood flow and reducing symptoms.
Pricing Overview
Cash Price
$169.13
Median Price
$1,494.04
Price Range
$152.25 - $13,547.57
Insurance Plan Prices
| Insurance Provider | Plan Type | Price |
|---|---|---|
| MultiPlan | Guardian Life Insurance Co | $694.34 |
| EmblemHealth | HIP Access II | $7,558.00 |
| EmblemHealth | Select Care Gold Exchange | $9,585.45 |
| Aetna | Global National Transplant | $6,346.39 |
| UnitedHealthcare | Medicare Advantage | $457.01 |
| Aetna | Christian Brothers ASA PPO | $6,346.39 |
| UnitedHealthcare | AARP Medicare Advantage Complete Mosaic | $457.01 |
| MagnaCare | National Health Plan | $13,547.57 |
| Healthfirst | Child Health Plus (CHP) | $152.25 |
| Carelon Behavioral Health | All Exchange Plans (Home-based Only) | $457.01 |
| UnitedHealthcare | HMO | $4,078.00 |
| Carelon Behavioral Health | Medicare Advantage (Home-based Only) | $457.01 |
| Aetna | Coresource ASA PPO | $6,346.39 |
| EmblemHealth | HIP PPO | $7,558.00 |
| BCBS (Out of State) | EPO (Suitcase Logo) | $3,810.00 |
| Fidelis Care | Gold for Children (Exchange) | $2,241.06 |
| MultiPlan | PHCS Savility | $694.34 |
| MultiPlan | Global Health Management | $694.34 |
| BCBS (Out of State) | HMO (Suitcase Logo) | $3,810.00 |
| 1199SEIU Funds | Home Care Benefit Fund | $1,250.00 |
| UnitedHealthcare - Oxford | Freedom | $3,210.00 |
| Fidelis Care | Child Health Plus (CHP) | $1,543.84 |
| MultiPlan | PHP Healthcare (Champus) | $694.34 |
| EmblemHealth | HIP Medicare Supplement | $457.01 |
| Healthfirst | Senior Health Partners (MLTC) | $152.25 |
| UnitedHealthcare | AARP Medicare Advantage Complete | $457.01 |
| Riverspring Health Plans | Medicare Advantage | $457.01 |
| Aetna | Starmark ASA PPO | $6,346.39 |
| EmblemHealth | HIP | $7,558.00 |
| EmblemHealth | American Plan Administrators | $11,277.00 |
| Blue Cross Blue Shield | PPO/EPO (Small Group) | $3,048.00 |
| Cigna | MVP-Cigna Network | $5,418.00 |
| Aetna | Wellnet ASA PPO | $6,346.39 |
| Partners Health Plan | FIDA | $457.01 |
| CenterLight | Direct | $466.15 |
| EmblemHealth | HIP VIP Medicare Healthcare Partners | $457.01 |
| BCBS (Out of State) | EPO | $3,810.00 |
| Aetna | Indemnity | $721.05 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 1, 200-250 (SOMOS) | $1,680.79 |
| Health Net | PPO | $694.34 |
| EmblemHealth | BCBS GHI Composite | $3,810.00 |
| Anthem BCBS HealthPlus | Essential Plan 1, 200-250 | $2,490.06 |
| HealthSmart | WTC Health Program - Stony Brook | $457.01 |
| EmblemHealth | GHI Medicare HMO | $457.01 |
| Horizon BCBS | Direct | $3,810.00 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 2 | $1,680.79 |
| UnitedHealthcare - Oxford | Medicare Advantage | $457.01 |
| Blue Cross Blue Shield | Federal Program | $3,810.00 |
| Anthem BCBS HealthPlus | SOMOS ny medicaid | $1,307.28 |
| Blue Cross Blue Shield | Senior Care Supplemental | $457.01 |
| EmblemHealth | HIP Optum Health | $7,558.00 |
| EmblemHealth | HIP Montefiore | $7,558.00 |
| EmblemHealth | HIP VIP Medicare Affinity | $457.01 |
| Anthem BCBS HealthPlus | Essential Plan 3 | $1,245.03 |
| UnitedHealthcare | POS | $4,078.00 |
| 1199SEIU Funds | Member Choice Home Care Select | $1,250.00 |
| Carelon Behavioral Health | Medicaid Managed Care (Home-based Only) | $1,245.03 |
| UnitedHealthcare | Independent | $4,078.00 |
| VNS Health | EasyCare (Medicare Advantage) | $457.01 |
| BCBS (Out of State) | POS (No Suitcase Logo) | $3,810.00 |
| UnitedHealthcare | PPO | $4,078.00 |
| VNS Health | MLTC (Medicaid) | $1,245.03 |
| Elderplan | FIDA | $457.01 |
| MultiPlan | Kaiser Permanente | $694.34 |
| EmblemHealth | Healthcare Partners Essential Plan 3 | $1,245.03 |
| MetroPlus | Medicaid Managed Care | $1,245.03 |
| Centers Plan for Healthy Living | All Plans | $457.01 |
| First Health | Commercial HMO | $747.75 |
| EmblemHealth | Enhanced Care (Medicaid) Child Health Plus (SOMOS) | $1,307.28 |
| Blue Cross Blue Shield | Blue Access HMO (Small Group) | $3,048.00 |
| UnitedHealthcare | Golden Rule Insurance | $4,078.00 |
| MultiPlan | Humana Health Plan | $694.34 |
| EmblemHealth | HIP VIP Medicare Reserve | $457.01 |
| Blue Cross Blue Shield | Blue Access gEPO (Small Group) | $3,048.00 |
| MultiPlan | QualCare Inc | $694.34 |
| Three Rivers | All Plans (Home-based Only) | $801.16 |
| Cigna | NALC PPO | $5,418.00 |
| EmblemHealth | Essential Plan 4 | $1,245.03 |
| VNS Health | EasyCare Plus (Medicare+Medicaid) | $457.01 |
| MultiPlan | Paramount Insurance | $694.34 |
| Cigna | Great West HMO | $5,418.00 |
| Cigna | Wellfleet Student | $5,418.00 |
| EmblemHealth | HIP compre health epo | $7,558.00 |
| BCBS (Out of State) | POS | $3,810.00 |
| MagnaCare | Independent Care Plus | $13,547.57 |
| Humana | All Commercial Plans | $694.34 |
| Anthem BCBS HealthPlus | Child Health Plus (CHP) | $1,245.03 |
| Cigna | Great West PPO | $5,418.00 |
| MagnaCare | Capital District Physicians Health Plan | $13,547.57 |
| Fidelis Care | Essential Plan 1 | $2,676.82 |
| UnitedHealthcare | Core | $4,078.00 |
| EmblemHealth | HIP POS | $7,558.00 |
| Healthfirst | Essential Plan 3-4 | $152.25 |
| UnitedHealthcare | Charter | $4,078.00 |
| MultiPlan | PHCS Director Guild | $694.34 |
| Aetna | Medicare Advantage | $457.01 |
| UnitedHealthcare - Oxford | Optum Health | $3,210.00 |
| EmblemHealth | HIP Long Island College Hospital (LICH) | $7,558.00 |
| MultiPlan | Fiserv Health | $694.34 |
| Blue Cross Blue Shield | Pathway Enhanced | $1,494.04 |
| UnitedHealthcare - Oxford | Liberty | $3,210.00 |
| EmblemHealth | Healthcare Partners Essential Plan 2 | $1,494.04 |
| MultiPlan | Nippon Life | $694.34 |
| MetroPlus | Essential Plan 3 | $1,245.03 |
| EmblemHealth | HIP Healthcare Partners HMO | $7,558.00 |
| MagnaCare | Cement & Concrete Workers District Council | $13,547.57 |
| MetroPlus | Essential Plan 1-2, 200-250 | $1,245.03 |
| Champus | Unysis Corp | $457.01 |
| Better Health Plan | All Plans | $747.75 |
| Blue Cross Blue Shield | HMO | $3,810.00 |
| Amida Care | Medicaid Managed Care | $1,245.03 |
| MetroPlus | Essential Plan 2 | $1,245.03 |
| Anthem BCBS HealthPlus | Family Health Plus (Deprecated) | $1,245.03 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO (HCP) | $457.01 |
| MultiPlan | Administrative Concepts | $694.34 |
| Blue Cross Blue Shield | Healthy New York | $3,810.00 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) HMO | $457.01 |
| EmblemHealth | Select Care Catastrophic Exchangeu00a0 | $9,585.45 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) PPO | $457.01 |
| EmblemHealth | American Plan Administrators c/o H.D.A | $11,277.00 |
| Aetna | Open Access HMO | $6,346.39 |
| EmblemHealth | Prime Silver | $9,585.45 |
| MultiPlan | Capital District Physicians Health Plan | $694.34 |
| UnitedHealthcare | AARP Medicare Advantage Complete Essentials | $457.01 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 2 (SOMOS) | $1,680.79 |
| EmblemHealth | Select Care Silver Exchange | $9,585.45 |
| UnitedHealthcare | AARP | $457.01 |
| BCBS (Out of State) | HMO | $3,810.00 |
| Fidelis Care | Bronze for Children (Exchange) | $2,241.06 |
| Anthem BCBS HealthPlus | Medicare Advantage | $457.01 |
| EmblemHealth | Essential Plan 3 | $1,245.03 |
| Blue Cross Blue Shield | EPO | $3,810.00 |
| Cigna | Tufts Health Plan | $5,418.00 |
| Fidelis Care | Gold (Exchange) | $2,241.06 |
| Healthfirst | Essential Plan 4 | $152.25 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 1 & 200-250 | $1,680.79 |
| Anthem BCBS HealthPlus | Special Needs Plan (SNP) | $1,245.03 |
| MultiPlan | Screen Actors Guild | $694.34 |
| MagnaCare | JIB Employees Security Fund | $13,547.57 |
| UnitedHealthcare | POMCO (UMR) | $694.34 |
| Healthfirst | Personal Wellness Plan (HARP) | $152.25 |
| VA Community Care Network | Optum | $457.01 |
| Blue Cross Blue Shield | Hotel Trades Council | $3,810.00 |
| EmblemHealth | Enhanced Care (Medicaid) (SOMOS) | $1,307.28 |
| Maksin Group | Consolidated Health Plan (Home-based only) | $5,418.00 |
| Healthfirst | Medicaid Managed Care | $152.25 |
| VNS Health | SelectHealth (Medicaid) | $1,245.03 |
| HealthSmart | WTC Health Program - FDNY | $457.01 |
| Cigna | PPO | $5,418.00 |
| BCBS (Out of State) | POS (Suitcase Logo) | $3,810.00 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) | $3,429.00 |
| EmblemHealth | CMO Essential Plan 2 | $1,494.04 |
| Fidelis Care | Wellcare Medicare Advantage | $457.01 |
| EmblemHealth | CMO Essential Plan 4 | $1,245.03 |
| EmblemHealth | Select Care Bronze Exchange | $9,585.45 |
| Fidelis Care | Silver for Children (Exchange) | $2,241.06 |
| EmblemHealth | HIP VIP Medicare Montefiore | $457.01 |
| MultiPlan | Healthnet of California | $694.34 |
| MultiPlan | PHCS | $694.34 |
| EmblemHealth | Healthcare Partners Essential Plan 1-2 | $1,494.04 |
| MetroPlus | Child Health Plus (CHP) | $1,245.03 |
| HealthSmart | WTC Health Program - NYCHHC | $457.01 |
| Fidelis Care | Catastrophic (Exchange) | $2,241.06 |
| EmblemHealth | Enhanced Care (Medicaid) Montefiore | $1,245.03 |
| Fidelis Care | Platinum for Children (Exchange) | $2,241.06 |
| MultiPlan | Principal Financial Group | $694.34 |
| Partners Health Plan | Medicaid | $1,245.03 |
| Cigna | Open Access | $5,418.00 |
| EmblemHealth | Select Care Silver Small Group | $9,585.45 |
| EmblemHealth | Enhanced Care (Medicaid) SNP HARP (SOMOS) | $1,307.28 |
| MagnaCare | Direct Plus | $13,547.57 |
| EmblemHealth | Prime Bronze | $9,585.45 |
| UnitedHealthcare | Choice (North Shore - LIJ) | $4,078.00 |
| Blue Cross Blue Shield | Blue Access EPO (Small Group) | $3,048.00 |
| Fidelis Care | Essential Plan 4 | $1,543.84 |
| EmblemHealth | Select Care Healthcare Partners | $9,585.45 |
| Hamaspik | Medicare Advantage | $914.02 |
| Blue Cross Blue Shield | POS | $3,810.00 |
| Blue Cross Blue Shield | Global Transplants | $3,810.00 |
| EmblemHealth | GHI HMO | $11,277.00 |
| MultiPlan | Mutual of Omaha | $694.34 |
| Veterans Choice | Veterans Choice Program | $457.01 |
| Blue Cross Blue Shield | Pathway | $1,494.04 |
| EmblemHealth | Select Care Platinum Small Group | $9,585.45 |
| AgeWell (Deprecated) | Medicaid Managed Care | $1,245.03 |
| Anthem BCBS HealthPlus | Medicaid | $1,245.03 |
| Healthfirst | Essential Plan 3 | $152.25 |
| Healthfirst | Personal Wellness Plan (HARP) | $1,245.03 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 3 | $1,307.28 |
| EmblemHealth | VIP Prime HMO Medicare Advantage | $457.01 |
| HealthSmart | WTC Health Program - UMDNJ Rutgers | $457.01 |
| Blue Cross Blue Shield | Blue Access gEPO (Large Group) | $3,429.00 |
| Partners Health Plan | Medicare Advantage | $457.01 |
| MetroPlus | Gold | $1,245.03 |
| MetroPlus | Medicare Advantage | $457.01 |
| Blue Cross Blue Shield | Local 32 BJ | $3,810.00 |
| Cigna | Premier Plus | $5,418.00 |
| Anthem BCBS | Optum | $3,810.00 |
| Elderplan | All Plans | $457.01 |
| EmblemHealth | Select Care Basic Exchange | $9,585.45 |
| BCBS (Out of State) | Medicare (Suitcase Logo) | $457.01 |
| Cigna | Indemnity | $5,418.00 |
| VillageCareMAX | All Plans | $457.01 |
| BCBS (Out of State) | PPO | $3,810.00 |
| Blue Cross Blue Shield | Pathway X Enhanced | $1,494.04 |
| Cigna | LifeSOURCE | $5,418.00 |
| Blue Cross Blue Shield | Open Access HMO (Home-based Only) | $3,810.00 |
| EmblemHealth | Vytra HMO | $7,558.00 |
| Cigna | Cigna Managed Care/POS | $5,418.00 |
| MultiPlan | AXA Global Insurance | $694.34 |
| MetroPlus | BronzePlus | $904.88 |
| Anthem BCBS HealthPlus | All Exchange Plans | $1,494.04 |
| BCBS (Out of State) | EPO (No Suitcase Logo) | $3,810.00 |
| Fidelis Care | Native American (Exchange) | $2,241.06 |
| EmblemHealth | Healthcare Partners Essential Plan 3-4 | $1,245.03 |
| HealthSmart | WTC Health Program - NYU | $457.01 |
| UnitedHealthcare | Choice | $4,078.00 |
| EmblemHealth | Enhanced Care (Medicaid) | $1,245.03 |
| Partners Health Plan | Medicare Advantage (Home-based Only) | $457.01 |
| Fidelis Care | Silver 250 (Exchange) | $2,241.06 |
| Anthem BCBS HealthPlus | Essential Plan 4 | $1,245.03 |
| Blue Cross Blue Shield | Blue Connection | $3,810.00 |
| Blue Cross Blue Shield | Child Health Plus (CHP) | $1,245.03 |
| HealthSmart | WTC Health Program - Logistic Health Inc | $457.01 |
| Cigna | Evernorth Behavioral Health | $5,418.00 |
| MetroPlus | PlatinumPlus | $904.88 |
| MetroPlus | GoldPlus | $904.88 |
| Anthem BCBS HealthPlus | Essential Plan 2 | $2,490.06 |
| Partners Health Plan | Medicaid MLTC | $1,245.03 |
| Anthem BCBS HealthPlus | SOMOS Special Needs HARP | $1,307.28 |
| BCBS (Out of State) | Medicare (No Suitcase Logo) | $457.01 |
| MultiPlan | Meritain Health | $694.34 |
| Sedgwick | WTC Health Program - Northwell | $457.01 |
| EmblemHealth | GHI EPO | $11,277.00 |
| BCBS (Out of State) | Medicare | $457.01 |
| Anthem BCBS | All Plans | $3,810.00 |
| EmblemHealth | GHI Medicare PPO | $457.01 |
| EmblemHealth | Select Care HMO | $9,585.45 |
| CenterLight | PACE Medicare HMO | $466.15 |
| EmblemHealth | Select Care PPOu00a0 | $9,585.45 |
| MetroPlus | MedPlus | $904.88 |
| Aetna | HMO | $6,346.39 |
| MultiPlan | Diversified Admin Corp | $694.34 |
| UnitedHealthcare | Optum Health | $4,078.00 |
| UnitedHealthcare | Student Resources | $4,078.00 |
| 1199SEIU Funds | PPO | $1,250.00 |
| MagnaCare | JIB Members | $13,547.57 |
| GEHA | All Plans | $6,346.39 |
| UnitedHealthcare | Choice (NY Power Authority) | $4,078.00 |
| EmblemHealth | Select Care EPO | $9,585.45 |
| BCBS (Out of State) | Indemnity | $3,810.00 |
| MultiPlan | Teamsters Allied Benefits | $694.34 |
| EmblemHealth | HIP Child Health Plus | $1,245.03 |
| MetroPlus | Essential Plan 3-4 | $1,245.03 |
| EmblemHealth | GHI Comprehensive Benefits Plan (CBP) | $11,277.00 |
| EmblemHealth | HIP Prime Basic | $9,585.45 |
| Fidelis Care | Essential Plan 2 | $2,676.82 |
| UnitedHealthcare | POMCO (UMR) | $4,078.00 |
| EmblemHealth | Prime Platinum | $9,585.45 |
| EmblemHealth | Healthcare Partners Essential Plan 1, 200-250 | $1,494.04 |
| Blue Cross Blue Shield | UniCare | $3,810.00 |
| First Health | PPO | $694.34 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select HMO/Extra HMO | $457.01 |
| MultiPlan | Global Excel Management | $694.34 |
| BCBS (Out of State) | HMO (No Suitcase Logo) | $3,810.00 |
| Fidelis Care | Silver (Exchange) | $2,241.06 |
| EmblemHealth | GHI PPO | $11,277.00 |
| EmblemHealth | Bridge | $7,558.00 |
| Aetna | Allied ASA PPO | $6,346.39 |
| Blue Cross Blue Shield | Blue Access PPO (Large Group) | $3,429.00 |
| UnitedHealthcare | EPO | $4,078.00 |
| MagnaCare | Direct Plus Preferred | $13,547.57 |
| EmblemHealth | GHI composite | $11,277.00 |
| Blue Cross Blue Shield | Blue Priority HMO | $3,810.00 |
| Blue Cross Blue Shield | Open Access PPO (Home-based Only) | $3,810.00 |
| EmblemHealth | Healthcare Partners Essential Plans | $1,494.04 |
| EmblemHealth | IUOE Local 14-14B | $11,277.00 |
| EmblemHealth | Healthcare Partners Essential Plan 4 | $1,245.03 |
| VNS Health | Total (Medicare + Medicaid) | $457.01 |
| Fidelis Care | Medicaid Managed Care | $1,543.84 |
| Aetna | Signature Administrators PPO | $6,346.39 |
| UnitedHealthcare | WTC Health Program | $457.01 |
| Cigna | Open Access PPO | $5,418.00 |
| Aetna | Student Health | $6,346.39 |
| MetroPlus | SilverPlus | $904.88 |
| MagnaCare | PPO | $13,547.57 |
| MetroPlus | GoldCare 2 | $1,245.03 |
| Cigna | Open Access HMO | $5,418.00 |
| MagnaCare | American Plan Administrators | $13,547.57 |
| EmblemHealth | Essential Plan 1, 200-250 | $1,494.04 |
| EmblemHealth | HIP SmartStart | $7,558.00 |
| Blue Cross Blue Shield | PPO | $3,810.00 |
| UnitedHealthcare - Oxford | Metro | $3,210.00 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 3 (SOMOS) | $1,307.28 |
| Fidelis Care | Bronze (Exchange) | $2,241.06 |
| Senior Whole Health | All Plans | $457.01 |
| EmblemHealth | CMO Essential Plan 1 | $1,494.04 |
| BCBS (Out of State) | PPO (No Suitcase Logo) | $3,810.00 |
| MetroPlus | Essential Plan 1 | $1,245.03 |
| Blue Cross Blue Shield | Blue Priority PPO | $3,810.00 |
| AgeWell (Deprecated) | Medicare Advantage | $457.01 |
| HealthSmart | WTC Health Program - Northwell | $457.01 |
| UnitedHealthcare | Medicare Advantage Complete Choice Regional PPO | $457.01 |
| EmblemHealth | CMO Essential Plan 3 | $1,245.03 |
| Anthem BCBS HealthPlus | SOMOS Child Health Plus (CHP) | $1,307.28 |
| Fidelis Care | Platinum (Exchange) | $2,241.06 |
| Aetna | POS | $6,346.39 |
| EmblemHealth | HIP Access I | $7,558.00 |
| MetroPlus | Essential Plan 4 | $1,245.03 |
| Aetna | Chesterfield Resources ASA PPO | $6,346.39 |
| Aetna | PPO | $6,346.39 |
| EmblemHealth | Select Care Bronze Small Group | $9,585.45 |
| Fidelis Care | Essential Plan 3 | $1,543.84 |
| CenterLight | Select | $466.15 |
| HealthSmart | WTC Health Program - Mt. Sinai | $457.01 |
| Aetna | Healthscope ASA PPO | $6,346.39 |
| Cigna | HMO | $5,418.00 |
| MultiPlan | PPO | $694.34 |
| EmblemHealth | HIP EPO | $7,558.00 |
| EmblemHealth | GHI Behavioral Management Program | $11,277.00 |
| Anthem BCBS | Empire Plan, Value Options | $3,810.00 |
| EmblemHealth | GHI Medicare Supplement | $457.01 |
| EmblemHealth | HIP HMO | $7,558.00 |
| Blue Cross Blue Shield | Blue Priority EPO (Small Group) | $3,048.00 |
| Aetna | Open Access Elect Choice EPO | $6,346.39 |
| Blue Cross Blue Shield | MediBlue (Medicare Advantage) Select/Extra HMO (HCP) | $457.01 |
| EmblemHealth | HIP compre health | $7,558.00 |
| MultiPlan | US Life Insurance Co | $694.34 |
| EmblemHealth | Enhanced Care (Medicaid) Essential Plan 4 (SOMOS) | $1,307.28 |
| Aetna | Meritain Health | $6,346.39 |
| EmblemHealth | WLNY-TV | $11,277.00 |
| CenterLight | PACE | $466.15 |
| UnitedHealthcare | Navigate | $4,078.00 |
| EmblemHealth | Prime Gold | $9,585.45 |
| EmblemHealth | Essential Plan 2 | $1,494.04 |
| EmblemHealth | Select Care Gold Small Group | $9,585.45 |
| Blue Cross Blue Shield | Blue Access EPO (Large Group) (NY LI Local 1199SEIU) | $3,429.00 |
| EmblemHealth | Select Care Platinum Exchange | $9,585.45 |
| EmblemHealth | HIP VIP Medicare Bold | $457.01 |
| EmblemHealth | Enhanced Care (Medicaid) Healthcare Partners | $1,245.03 |
| Blue Cross Blue Shield | Indemnity | $3,810.00 |
| Anthem BCBS HealthPlus | SOMOS Essential Plan 4 | $1,307.28 |
| Aetna | Nippon Life ASA PPO | $6,346.39 |
| BCBS (Out of State) | PPO (Suitcase Logo) | $3,810.00 |