| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $43.65 | $660.69 | $41,686.94 | |
CareSource
| Professional | $57.54 | $741.31 | $1,318.26 | |
Molina
| Professional | $39.81 | $50.12 | $60.26 | |
United
| Facility | $81.28 | $81.28 | $81.28 | |
United
| Professional | $69.18 | $91.20 | $147.91 |