| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $1.00 | $1.00 | $1.00 | |
CareSource
| Facility | $5.49 | $41,999.58 | $62,999.37 | |
CareSource
| Professional | $3.05 | $4.50 | $6.03 | |
Cigna
| Professional | $74.00 | $74.00 | $74.00 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |