| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $126.26 | $126.26 | $157.57 | |
CareSource
| Facility | $132.83 | $185.96 | $43,499.57 | |
CareSource
| Professional | $142.12 | $179.32 | $212.52 | |
Cigna
| Professional | $83.48 | $83.48 | $484.38 |