| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CDPHP
| Facility | $86.36 | $237.19 | $6,213.00 | |
CDPHP
| Professional | $86.36 | $237.19 | $323.55 | |
Cigna
| Professional | $264.33 | $264.33 | $316.70 | |
MVP Health Care
| Facility | $5,855.00 | $5,855.00 | $8,498.00 | |
MVP Health Care
| Professional | $200.09 | $307.94 | $566.53 |