| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,111.00 | $4,320.00 | $8,230.00 | |
Anthem BCBS
| Professional | $56.91 | $66.95 | $78.78 | |
CareSource
| Facility | $72.15 | $1,192.50 | $23,239.60 | |
United
| Professional | $60.89 | $75.50 | $122.36 |