| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $323.59 | $416.87 | $478.63 | |
CareSource
| Professional | $323.59 | $371.54 | $446.68 | |
Cigna
| Facility | $5.01 | $467.74 | $588.84 | |
United
| Facility | $489.78 | $489.78 | $489.78 | |
United
| Professional | $331.13 | $407.38 | $660.69 |