| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $74.73 | $74.73 | $93.93 | |
CareSource
| Facility | $27,562.22 | $32,812.17 | $44,999.55 | |
CareSource
| Professional | $34,124.66 | $36,749.62 | $36,749.62 | |
Cigna
| Professional | $39.50 | $49.38 | $169.08 |