| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
CareSource
| Facility | $71.31 | $73.95 | $103.02 | |
CareSource
| Professional | $55.47 | $82.02 | $99.85 | |
Cigna
| Professional | $12.29 | $12.29 | $12.29 |