| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CDPHP
| Facility | $2.75 | $2.75 | $2.89 | |
CDPHP
| Professional | $2.75 | $2.75 | $2.75 | |
MVP Health Care
| Professional | $1.00 | $1.00 | $6.66 | |
Univera
| Facility | $2.02 | $2.02 | $2.02 | |
Univera
| Professional | $1.57 | $1.57 | $2.02 |