| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $97.56 | $97.56 | $188.29 | |
Anthem BCBS
| Professional | $82.92 | $169.03 | $256.62 | |
CareSource
| Facility | $79.04 | $1,185.60 | $1,958.85 | |
United
| Professional | $69.58 | $87.24 | $132.00 |