| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $7,279.93 | $45,499.55 | $68,249.33 | |
CareSource
| Professional | $52,499.48 | $70,874.30 | $74,999.25 | |
Cigna
| Professional | $112.10 | $112.10 | $134.30 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |