| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,646.00 | $20,160.00 | $45,778.00 | |
CareSource
| Facility | $89,999.10 | $89,999.10 | $89,999.10 | |
CareSource
| Professional | $52,499.48 | $65,624.34 | $89,999.10 | |
Cigna
| Professional | $3,859.15 | $4,078.82 | $4,886.89 |