| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CDPHP
| Facility | $3.58 | $3.58 | $3.76 | |
CDPHP
| Professional | $3.58 | $3.58 | $3.58 | |
MVP Health Care
| Professional | $1.00 | $1.00 | $10.21 | |
United
| Professional | $6.34 | $6.34 | $6.34 | |
Univera
| Facility | $1.66 | $1.66 | $1.66 | |
Univera
| Professional | $1.66 | $1.66 | $3.28 |