| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $89.89 | $89.89 | $111.11 | |
CareSource
| Facility | $90.59 | $126.83 | $43,499.57 | |
CareSource
| Professional | $96.93 | $122.30 | $144.94 | |
Cigna
| Professional | $92.14 | $92.14 | $327.52 |