| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $50.12 | $64.57 | $102.33 | |
CareSource
| Facility | $41,686.94 | $41,686.94 | $63,095.73 | |
CareSource
| Professional | $75,857.76 | $75,857.76 | $75,857.76 | |
SummaCare
| Professional | $60.26 | $60.26 | $75.86 |