| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $416.87 | $416.87 | $416.87 | |
CareSource
| Facility | $190.55 | $213.80 | $229.09 | |
Cigna
| Facility | $223.87 | $1,380.38 | $4,168.69 | |
Cigna
| Professional | $758.58 | $954.99 | $6,165.95 | |
United
| Facility | $12,882.50 | $16,982.44 | $18,197.01 | |
United
| Professional | $213.80 | $1,513.56 | $3,801.89 |