| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $53,899.46 | $53,899.46 | $53,899.46 | |
Cigna
| Facility | $493.74 | $493.74 | $493.74 | |
Cigna
| Professional | $13.72 | $38.77 | $38.77 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |