| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CDPHP
| Facility | $5.89 | $5.89 | $6.17 | |
CDPHP
| Professional | $5.89 | $5.89 | $5.89 | |
United
| Professional | $5.25 | $5.89 | $5.89 | |
Univera
| Facility | $3.02 | $3.02 | $3.02 | |
Univera
| Professional | $3.02 | $3.24 | $3.24 |