| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $7,349.93 | $47,249.53 | $73,499.27 | |
CareSource
| Professional | $42,349.58 | $74,024.27 | $104,998.95 | |
Cigna
| Professional | $165.52 | $165.52 | $181.91 | |
Molina
| Professional | $100.00 | $100.00 | $100.00 |