| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $12,382.00 | $12,382.00 | $13,758.00 | |
CareSource
| Facility | $1,307.16 | $1,336.87 | $1,336.88 | |
CareSource
| Professional | $1,176.45 | $1,176.45 | $1,176.45 | |
Cigna
| Professional | $3,539.26 | $3,740.72 | $4,481.80 |