| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CDPHP
| Facility | $17.95 | $29.92 | $31.40 | |
CDPHP
| Professional | $21.84 | $29.92 | $31.40 | |
Cigna
| Professional | $34.28 | $34.28 | $42.85 | |
MVP Health Care
| Facility | $13.73 | $19.91 | $254.50 | |
MVP Health Care
| Professional | $19.45 | $41.05 | $67.50 |