| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $8,107.00 | $12,991.00 | $20,564.00 | |
Anthem BCBS
| Professional | $114.83 | $135.10 | $207.29 | |
Cigna
| Professional | $919.24 | $919.24 | $919.24 | |
Medica
| Facility | $300.69 | $727.67 | $14,969.00 |