| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $789.62 | $789.62 | $987.02 | |
CareSource
| Professional | $789.62 | $829.10 | $1,184.42 | |
Cigna
| Professional | $671.95 | $716.36 | $839.94 | |
United
| Facility | $204.72 | $401.38 | $441.28 |