| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $23.44 | $23.44 | $44.67 | |
Anthem BCBS
| Professional | $23.44 | $44.67 | $75.86 | |
CareSource
| Facility | $52,480.75 | $52,480.75 | $52,480.75 | |
Cigna
| Professional | $42.66 | $42.66 | $42.66 |