| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $707.95 | $1,548.82 | $2,511.89 | |
CareSource
| Facility | $41,686.94 | $45,708.82 | $67,608.30 | |
CareSource
| Professional | $75,857.76 | $75,857.76 | $75,857.76 | |
United
| Professional | $33.88 | $56.23 | $74.13 |