| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $40,424.60 | $50,749.49 | $83,999.16 | |
CareSource
| Professional | $43,499.57 | $47,249.53 | $50,749.49 | |
Cigna
| Professional | $1,646.18 | $2,245.17 | $2,245.17 | |
Molina
| Professional | $1,374.30 | $1,649.16 | $1,855.30 |