| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,665.00 | $9,863.00 | $26,304.00 | |
Anthem BCBS
| Professional | $484.09 | $642.10 | $911.78 | |
CareSource
| Facility | $2,610.00 | $3,684.71 | $121,498.80 | |
CareSource
| Professional | $2,456.46 | $2,947.76 | $127,573.72 | |
United
| Professional | $1,124.99 | $1,561.75 | $2,629.83 |