| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1.21 | $1.21 | $1.21 | |
Cigna
| Professional | $9.09 | $9.09 | $11.36 | |
MVP Health Care
| Facility | $1.21 | $1.21 | $1.21 | |
MVP Health Care
| Professional | $9.09 | $11.36 | $49.26 | |
United
| Professional | $14.25 | $14.78 | $34.40 |