| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $257.04 | $4,073.80 | $83,176.38 | |
CareSource
| Professional | $204.17 | $251.19 | $74,131.02 | |
Cigna
| Professional | $165.96 | $165.96 | $181.97 | |
United
| Professional | $89.13 | $89.13 | $89.13 |