| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,935.00 | $11,294.00 | $30,091.00 | |
CareSource
| Facility | $89,999.10 | $89,999.10 | $89,999.10 | |
CareSource
| Professional | $52,499.48 | $65,624.34 | $89,999.10 | |
Cigna
| Professional | $2,781.04 | $2,939.34 | $3,521.66 |