| 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 | $248.63 | $629.24 | $740.28 | |
CareSource
| Facility | $174.14 | $3,675.36 | $23,970.32 | |
United
| Professional | $120.87 | $233.13 | $445.74 |