| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CDPHP
| Facility | $2,030.00 | $2,030.00 | $2,030.00 | |
CDPHP
| Professional | $1,481.90 | $2,030.00 | $2,030.00 | |
Cigna
| Professional | $2,381.03 | $2,381.03 | $2,852.74 | |
MVP Health Care
| Professional | $2,381.03 | $2,381.03 | $2,852.74 |