| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $2,705.10 | $16,700.00 | $33,821.32 | |
Anthem BCBS
| Professional | $890.42 | $1,362.24 | $1,879.89 | |
CareSource
| Facility | $660.00 | $14,850.00 | $65,624.35 | |
United
| Professional | $804.09 | $1,095.38 | $1,891.98 |