| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $323.59 | $5,011.87 | $83,176.38 | |
CareSource
| Professional | $257.04 | $309.03 | $74,131.02 | |
Cigna
| Professional | $194.98 | $194.98 | $218.78 | |
United
| Professional | $104.71 | $104.71 | $104.71 |