| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $921.09 | $3,837.88 | $18,421.84 | |
CareSource
| Professional | $818.75 | $921.09 | $119,998.80 | |
Cigna
| Facility | $554.36 | $818.75 | $2,046.71 | |
Cigna
| Professional | $3,288.64 | $3,288.64 | $3,288.64 | |
United
| Professional | $286.56 | $341.15 | $989.32 |