| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $1,148.15 | $1,148.15 | $2,398.83 | |
CareSource
| Professional | $1,230.27 | $1,230.27 | $2,137.96 | |
United
| Facility | $1,174.90 | $1,174.90 | $2,041.74 | |
United
| Professional | $870.96 | $1,122.02 | $1,479.11 |