| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $52,480.75 | $52,480.75 | $52,480.75 | |
Cigna
| Professional | $162.18 | $173.78 | $208.93 | |
United
| Facility | $141.25 | $141.25 | $141.25 | |
United
| Professional | $60.26 | $66.07 | $295.12 |