| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Professional | $117.49 | $177.83 | $213.80 | |
Cigna
| Professional | $181.97 | $181.97 | $181.97 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $64.57 | $165.96 | $257.04 |