| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $11,374.89 | $41,999.58 | $62,999.37 | |
CareSource
| Professional | $52,499.48 | $70,874.30 | $74,999.25 | |
Cigna
| Professional | $11.74 | $12.32 | $14.76 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |