| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $83.83 | $83.83 | $161.79 | |
Anthem BCBS
| Professional | $57.21 | $83.83 | $115.68 | |
CareSource
| Facility | $43,749.56 | $65,624.35 | $89,999.10 | |
Cigna
| Professional | $33.11 | $38.97 | $38.97 |