| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,310.00 | $10,338.00 | $26,304.00 | |
Anthem BCBS
| Professional | $1,069.70 | $1,258.48 | $1,480.56 | |
CareSource
| Facility | $479.55 | $10,125.49 | $24,630.38 | |
United
| Professional | $442.27 | $790.66 | $1,314.56 |