| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $789.62 | $1,105.46 | $48,999.51 | |
CareSource
| Professional | $818.86 | $947.54 | $1,105.46 | |
Cigna
| Professional | $671.95 | $678.67 | $839.94 | |
United
| Facility | $441.28 | $584.90 | $584.90 |