| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $141.25 | $141.25 | $194.98 | |
BCBS
| Professional | $141.25 | $141.25 | $141.25 | |
CareSource
| Professional | $104.71 | $104.71 | $104.71 | |
United
| Professional | $95.50 | $95.50 | $162.18 |