| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $120.23 | $131.83 | $190.55 | |
CareSource
| Professional | $93.33 | $131.83 | $173.78 | |
Cigna
| Professional | $83.18 | $83.18 | $91.20 | |
United
| Professional | $97.72 | $104.71 | $109.65 |