| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,000.00 | $7,413.10 | $19,054.61 | |
CareSource
| Facility | $41,686.94 | $41,686.94 | $63,095.73 | |
CareSource
| Professional | $75,857.76 | $75,857.76 | $75,857.76 | |
United
| Professional | $177.83 | $275.42 | $389.05 |