| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.02 | |
CareSource
| Facility | $41,999.58 | $41,999.58 | $43,749.56 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $1,463.90 | $1,463.90 | $1,463.90 |