| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,599.00 | $7,833.00 | $12,916.00 | |
CareSource
| Facility | $89,999.10 | $89,999.10 | $89,999.10 | |
CareSource
| Professional | $62,999.37 | $65,624.34 | $89,999.10 | |
Cigna
| Professional | $2,141.25 | $2,263.13 | $2,711.49 |