| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $48,999.51 | $48,999.51 | $92,609.07 | |
Cigna
| Professional | $21.10 | $23.19 | $26.53 | |
Health Alliance Plan
| Facility | $30.23 | $70.20 | $73.18 | |
Health Alliance Plan
| Professional | $70.20 | $70.20 | $87.76 |