| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CDPHP
| Facility | $11.82 | $11.82 | $12.41 | |
CDPHP
| Professional | $11.82 | $11.82 | $11.82 | |
MVP Health Care
| Professional | $3.00 | $3.00 | $14.21 | |
Univera
| Facility | $7.02 | $7.02 | $7.02 | |
Univera
| Professional | $6.69 | $6.85 | $7.02 |