| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $4,447.00 | $10,366.00 | $28,794.00 | |
CareSource
| Facility | $89,999.10 | $89,999.10 | $89,999.10 | |
CareSource
| Professional | $52,499.48 | $65,624.34 | $89,999.10 | |
Cigna
| Professional | $3,490.25 | $3,688.92 | $4,419.75 |