| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $48,999.51 | $48,999.51 | $48,999.51 | |
CareSource
| Professional | $42,349.58 | $42,349.58 | $42,349.58 | |
Cigna
| Professional | $86.27 | $90.23 | $99.17 | |
United
| Professional | $36.89 | $36.89 | $37.71 |