| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $120.23 | $147.91 | $213.80 | |
CareSource
| Professional | $131.83 | $131.83 | $131.83 | |
Cigna
| Professional | $77.62 | $87.10 | $104.71 | |
United
| Facility | $109.65 | $109.65 | $109.65 | |
United
| Professional | $97.72 | $104.71 | $109.65 |