| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1.21 | $1.21 | $1.21 | |
Cigna
| Professional | $16.11 | $16.11 | $20.13 | |
MVP Health Care
| Facility | $1.21 | $1.21 | $1.21 | |
MVP Health Care
| Professional | $9.50 | $16.11 | $20.13 | |
United
| Professional | $10.64 | $15.00 | $34.93 |