| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $777.00 | $1,765.00 | $3,943.00 | |
CareSource
| Facility | $7,279.93 | $45,499.55 | $68,249.33 | |
CareSource
| Professional | $52,499.48 | $70,874.30 | $74,999.25 | |
Cigna
| Professional | $322.77 | $322.77 | $386.72 |