| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $316.85 | $422.47 | $553.24 | |
BCBS
| Professional | $8.42 | $86.40 | $155.52 | |
CareSource
| Facility | $100.91 | $100.91 | $100.91 | |
Cigna
| Professional | $104.74 | $104.74 | $104.74 | |
Health Alliance Plan
| Professional | $115.20 | $115.20 | $115.20 |