| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $239.88 | $41,686.94 | $63,095.73 | |
CareSource
| Professional | $75,857.76 | $75,857.76 | $75,857.76 | |
Cigna
| Professional | $194.98 | $194.98 | $218.78 | |
United
| Professional | $74.13 | $104.71 | $177.83 |