| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,185.00 | $9,153.00 | $60,320.00 | |
Anthem BCBS
| Professional | $1,258.47 | $1,633.50 | $2,534.86 | |
CareSource
| Facility | $899.17 | $13,426.55 | $27,463.40 | |
CareSource
| Professional | $899.17 | $14,006.33 | $24,717.05 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 | |
United
| Professional | $113.98 | $147.72 | $500.75 |