| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $5,419.00 | $10,965.00 | $17,271.00 | |
CareSource
| Facility | $89,999.10 | $89,999.10 | $89,999.10 | |
CareSource
| Professional | $62,999.37 | $65,624.34 | $89,999.10 | |
Cigna
| Professional | $5,150.97 | $5,444.18 | $6,522.75 |