| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1.21 | $1.21 | $194.70 | |
Cigna
| Professional | $20.23 | $20.23 | $25.30 | |
MVP Health Care
| Facility | $1.21 | $1.21 | $194.70 | |
MVP Health Care
| Professional | $19.63 | $20.23 | $25.30 | |
United
| Professional | $14.51 | $14.78 | $40.24 |