| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $261.83 | $349.13 | $396.32 | |
CareSource
| Facility | $12,249.87 | $55,999.44 | $83,999.16 | |
CareSource
| Professional | $68,249.33 | $89,999.10 | $104,998.95 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |