| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $82.25 | $82.25 | $158.74 | |
Anthem BCBS
| Professional | $76.93 | $82.25 | $131.60 | |
CareSource
| Facility | $43,749.56 | $52,499.48 | $89,999.10 | |
Cigna
| Facility | $88.05 | $88.05 | $700.00 |