| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $43,749.56 | $52,499.48 | $65,624.35 | |
CareSource
| Professional | $36,749.62 | $36,749.62 | $36,749.62 | |
Cigna
| Professional | $126.75 | $140.13 | $158.44 | |
United
| Facility | $40.04 | $40.04 | $51.49 |