| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $1,047.13 | $1,047.13 | $2,137.96 | |
CareSource
| Professional | $1,122.02 | $1,122.02 | $1,905.46 | |
United
| Facility | $1,047.13 | $1,071.52 | $1,862.09 | |
United
| Professional | $776.25 | $1,023.29 | $1,318.26 |