| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $72,443.60 | $85,113.80 | $114,815.36 | |
CareSource
| Professional | $60,255.96 | $79,432.82 | $97,723.72 | |
Cigna
| Facility | $398.11 | $398.11 | $794.33 | |
Molina
| Professional | $44.67 | $44.67 | $44.67 |