| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,041.00 | $1,991.00 | $2,894.00 | |
CareSource
| Facility | $47,999.52 | $47,999.52 | $47,999.52 | |
Cigna
| Professional | $112.99 | $234.42 | $275.83 | |
Molina
| Professional | $145.21 | $174.25 | $196.03 |