| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $196.14 | $254.98 | $396.32 | |
CareSource
| Facility | $11,374.89 | $52,499.48 | $62,999.37 | |
CareSource
| Professional | $52,499.48 | $70,874.30 | $74,999.25 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |