| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,000.00 | $3,000.00 | $3,000.00 | |
Anthem BCBS
| Professional | $285.86 | $423.88 | $474.76 | |
CareSource
| Facility | $12,249.87 | $50,749.49 | $83,999.16 | |
CareSource
| Professional | $73,499.27 | $89,999.10 | $104,998.95 | |
Cigna
| Facility | $96.58 | $96.58 | $163.03 | |
Molina
| Professional | $45.00 | $45.00 | $3,000.00 |