| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,956.00 | $7,833.00 | $14,116.00 | |
CareSource
| Facility | $89,999.10 | $89,999.10 | $89,999.10 | |
CareSource
| Professional | $62,999.37 | $65,624.34 | $89,999.10 | |
Cigna
| Professional | $2,003.76 | $2,117.82 | $2,537.39 |