| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,760.00 | $3,528.00 | $14,996.00 | |
CareSource
| Facility | $11,374.89 | $50,749.49 | $68,249.33 | |
CareSource
| Professional | $52,499.48 | $70,874.30 | $74,999.25 | |
United
| Facility | $3,086.00 | $3,086.00 | $3,454.00 |