| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $891.25 | $3,090.30 | $4,073.80 | |
CareSource
| Facility | $41,686.94 | $41,686.94 | $63,095.73 | |
CareSource
| Professional | $75,857.76 | $75,857.76 | $75,857.76 | |
United
| Professional | $229.09 | $354.81 | $512.86 |