| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $9,120.11 | $19,952.62 | $27,542.29 | |
CareSource
| Facility | $446.68 | $7,244.36 | $43,651.58 | |
United
| Facility | $5,370.32 | $5,370.32 | $16,982.44 | |
United
| Professional | $446.68 | $776.25 | $1,479.11 |