| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $10.23 | $10.23 | $10.23 | |
CareSource
| Professional | $75,857.76 | $75,857.76 | $75,857.76 | |
Cigna
| Professional | $9.55 | $9.55 | $11.75 | |
United
| Facility | $2.63 | $3.80 | $5.25 | |
United
| Professional | $3.16 | $4.47 | $7.59 |