| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $6,682.50 | $27,843.75 | $133,650.00 | |
CareSource
| Professional | $5,940.00 | $6,682.50 | $119,998.80 | |
Cigna
| Facility | $5,940.00 | $5,940.00 | $5,940.00 | |
Cigna
| Professional | $23,859.00 | $23,859.00 | $23,859.00 | |
United
| Professional | $1,055.57 | $1,256.63 | $3,392.89 |