| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $9,549.93 | $11,748.98 | $11,748.98 | |
CareSource
| Facility | $1,096.48 | $14,791.08 | $46,773.51 | |
CareSource
| Professional | $1,096.48 | $14,125.38 | $25,118.86 | |
Molina
| Professional | $44.67 | $44.67 | $44.67 | |
United
| Professional | $107.15 | $169.82 | $234.42 |