| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $12,302.69 | $48,977.88 | $83,176.38 | |
CareSource
| Professional | $42,657.95 | $74,131.02 | $104,712.85 | |
Cigna
| Professional | $165.96 | $165.96 | $181.97 | |
United
| Professional | $89.13 | $89.13 | $89.13 |