| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $592.55 | $592.55 | $740.69 | |
CareSource
| Professional | $592.55 | $622.17 | $888.83 | |
Cigna
| Professional | $504.27 | $537.58 | $630.34 | |
United
| Professional | $184.35 | $252.88 | $482.38 |