| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,614.00 | $9,200.00 | $18,942.00 | |
Anthem BCBS
| Professional | $534.85 | $629.24 | $740.28 | |
CareSource
| Facility | $164.74 | $3,477.89 | $23,970.32 | |
United
| Professional | $107.95 | $132.05 | $227.26 |