| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $812.83 | $12,882.50 | $83,176.38 | |
CareSource
| Professional | $645.65 | $794.33 | $74,131.02 | |
Cigna
| Professional | $524.81 | $524.81 | $575.44 | |
United
| Professional | $269.15 | $269.15 | $269.15 |