| 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 | $258.08 | $629.24 | $740.28 | |
CareSource
| Facility | $159.40 | $3,366.49 | $23,970.32 | |
United
| Professional | $242.20 | $421.19 | $799.08 |