| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $294.70 | $951.57 | $3,500.00 | |
Anthem BCBS
| Professional | $176.36 | $294.70 | $406.68 | |
CareSource
| Facility | $173.23 | $2,598.46 | $3,897.69 | |
United
| Facility | $220.39 | $220.39 | $228.10 | |
United
| Professional | $153.16 | $222.08 | $389.37 |