| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $1,071.52 | $1,071.52 | $2,238.72 | |
CareSource
| Professional | $1,148.15 | $1,148.15 | $1,995.26 | |
United
| Facility | $1,096.48 | $1,096.48 | $1,905.46 | |
United
| Professional | $812.83 | $1,047.13 | $1,380.38 |