| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $23.30 | $23.30 | $44.97 | |
Anthem BCBS
| Professional | $19.80 | $42.67 | $56.43 | |
CareSource
| Facility | $52,499.48 | $52,499.48 | $52,499.48 | |
Cigna
| Professional | $42.95 | $42.95 | $42.95 |