| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $59,999.40 | $59,999.40 | $59,999.40 | |
CareSource
| Professional | $35,999.64 | $35,999.64 | $41,999.58 | |
Cigna
| Facility | $64.00 | $1,051.59 | $1,051.59 | |
Cigna
| Professional | $548.64 | $893.86 | $1,051.59 |