| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $39.81 | $46.77 | $51.29 | |
CareSource
| Facility | $12,302.69 | $51,286.14 | $83,176.38 | |
CareSource
| Professional | $74,131.02 | $89,125.09 | $104,712.85 | |
Molina
| Professional | $44.67 | $44.67 | $44.67 |