| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CDPHP
| Facility | $2,919.60 | $2,919.60 | $2,919.60 | |
CDPHP
| Professional | $2,131.31 | $2,919.60 | $2,919.60 | |
Cigna
| Professional | $3,903.25 | $3,903.25 | $4,676.53 | |
MVP Health Care
| Professional | $1,897.74 | $2,189.69 | $6,014.38 |