| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CDPHP
| Facility | $350.94 | $584.90 | $584.90 | |
CDPHP
| Professional | $584.90 | $584.90 | $1,560.00 | |
Cigna
| Professional | $671.95 | $712.27 | $853.38 | |
MVP Health Care
| Facility | $13.73 | $19.91 | $254.50 | |
MVP Health Care
| Professional | $469.37 | $640.00 | $1,290.74 | |
United
| Facility | $380.19 | $401.38 | $712.92 |