| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $41,999.58 | $55,999.44 | $83,999.17 | |
CareSource
| Professional | $42,349.58 | $104,998.95 | $104,998.95 | |
Cigna
| Professional | $126.75 | $126.75 | $158.44 | |
United
| Facility | $114.43 | $114.43 | $114.43 |