| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,013.00 | $3,389.00 | $3,766.00 | |
Anthem BCBS
| Professional | $134.01 | $173.85 | $1,123.26 | |
CareSource
| Facility | $12,249.87 | $55,999.44 | $83,999.17 | |
CareSource
| Professional | $65,999.34 | $74,024.27 | $104,998.95 | |
Molina
| Professional | $45.00 | $45.00 | $3,000.00 |