| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $379.42 | $379.42 | $496.86 | |
BCBS
| Professional | $7.56 | $10.75 | $139.66 | |
CareSource
| Facility | $131.63 | $131.63 | $131.63 | |
CareSource
| Professional | $14.48 | $14.48 | $144.78 | |
Cigna
| Professional | $62.85 | $83.06 | $89.79 | |
Health Alliance Plan
| Professional | $62.85 | $80.81 | $94.05 |