| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $245.05 | $438.64 | $490.10 | |
CareSource
| Facility | $82.91 | $82.91 | $128.51 | |
CareSource
| Professional | $82.91 | $82.91 | $103.64 | |
Cigna
| Professional | $103.52 | $318.17 | $335.06 |