| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1.00 | $1.00 | $1.93 | |
Anthem BCBS
| Professional | $1.00 | $1.00 | $1.42 | |
CareSource
| Facility | $121,498.80 | $125,998.70 | $157,498.40 | |
CareSource
| Professional | $94,499.06 | $145,798.54 | $182,248.18 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $6.35 | $6.35 | $6.35 |