| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $225.75 | $225.75 | $225.75 | |
Anthem BCBS
| Professional | $62.55 | $197.09 | $225.80 | |
CareSource
| Facility | $48,999.51 | $48,999.51 | $48,999.51 | |
CareSource
| Professional | $42,349.58 | $42,349.58 | $42,349.58 | |
Cigna
| Professional | $492.75 | $492.75 | $615.94 |