| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $74.73 | $74.73 | $93.93 | |
CareSource
| Facility | $26,249.74 | $40,424.60 | $55,999.44 | |
CareSource
| Professional | $47,249.53 | $48,999.51 | $50,749.49 | |
Cigna
| Professional | $39.90 | $50.17 | $171.78 |