| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $690.41 | $784.55 | $1,338.96 | |
CareSource
| Professional | $815.93 | $815.93 | $815.93 | |
Cigna
| Professional | $785.50 | $785.50 | $785.50 | |
United
| Professional | $889.25 | $889.25 | $1,112.01 |