| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1.21 | $1.21 | $1.21 | |
Cigna
| Professional | $20.23 | $20.23 | $25.30 | |
MVP Health Care
| Facility | $1.21 | $1.21 | $1.21 | |
MVP Health Care
| Professional | $20.23 | $22.66 | $25.30 | |
United
| Professional | $12.55 | $14.62 | $32.18 |