| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $41,686.94 | $41,686.94 | $63,095.73 | |
CareSource
| Professional | $75,857.76 | $75,857.76 | $75,857.76 | |
Cigna
| Professional | $616.60 | $616.60 | $724.44 | |
Molina
| Professional | $39.81 | $50.12 | $60.26 |