| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $10.47 | $10.47 | $20.42 | |
CareSource
| Professional | $75,857.76 | $75,857.76 | $75,857.76 | |
Cigna
| Professional | $17.38 | $17.38 | $21.88 | |
United
| Facility | $5.37 | $6.46 | $7.59 | |
United
| Professional | $6.46 | $9.12 | $15.14 |