| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CDPHP
| Facility | $2,515.60 | $2,515.60 | $2,515.60 | |
CDPHP
| Professional | $1,836.39 | $2,515.60 | $2,515.60 | |
Cigna
| Professional | $3,182.22 | $3,182.22 | $3,812.66 | |
MVP Health Care
| Professional | $3,182.22 | $3,812.66 | $5,662.66 |