| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $101.05 | $180.88 | $202.10 | |
CareSource
| Facility | $201.36 | $32,812.17 | $62,999.37 | |
CareSource
| Professional | $34,124.66 | $34,124.66 | $34,124.66 | |
Cigna
| Professional | $91.24 | $91.24 | $91.24 |