| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,310.00 | $10,700.00 | $28,091.00 | |
CareSource
| Facility | $89,999.10 | $89,999.10 | $89,999.10 | |
CareSource
| Professional | $62,999.37 | $65,624.34 | $89,999.10 | |
Cigna
| Professional | $1,534.62 | $2,289.76 | $5,192.89 |