| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $197.09 | $197.09 | $380.38 | |
Anthem BCBS
| Professional | $62.55 | $197.09 | $265.51 | |
CareSource
| Professional | $36,749.62 | $36,749.62 | $36,749.62 | |
Cigna
| Professional | $492.75 | $553.15 | $615.94 |