| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,309.00 | $6,474.00 | $13,758.00 | |
CareSource
| Facility | $89,999.10 | $89,999.10 | $89,999.10 | |
CareSource
| Professional | $52,499.48 | $65,624.34 | $89,999.10 | |
Cigna
| Professional | $2,156.21 | $2,278.96 | $2,730.45 |