| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $0.32 | $0.32 | $0.32 | |
CareSource
| Professional | $0.34 | $0.34 | $0.34 | |
Cigna
| Facility | $85.11 | $85.11 | $85.11 | |
Cigna
| Professional | $0.72 | $0.72 | $1.35 | |
United
| Professional | $0.17 | $0.28 | $0.47 |