| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,935.00 | $11,249.00 | $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 | $3,480.72 | $3,678.85 | $4,407.68 |