| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $66.07 | $66.07 | $66.07 | |
Cigna
| Professional | $51.29 | $97.72 | $181.97 | |
Priority Health
| Professional | $44.67 | $97.72 | $173.78 | |
United
| Professional | $44.67 | $44.67 | $44.67 |