| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $142.63 | $142.63 | $142.63 | |
BCBS
| Professional | $106.97 | $142.63 | $142.63 | |
CareSource
| Professional | $104.30 | $104.30 | $104.30 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $142.63 | $142.63 | $142.63 | |
BCBS
| Professional | $106.97 | $142.63 | $142.63 | |
CareSource
| Professional | $104.30 | $104.30 | $104.30 |