| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CDPHP
| Facility | $4.22 | $4.22 | $4.43 | |
CDPHP
| Professional | $4.22 | $4.22 | $4.22 | |
MVP Health Care
| Professional | $2.00 | $2.00 | $6.08 | |
Univera
| Facility | $2.41 | $2.41 | $2.41 | |
Univera
| Professional | $2.09 | $2.09 | $2.41 |