| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $937.00 | $1,927.00 | $3,943.00 | |
Anthem BCBS
| Professional | $217.70 | $719.59 | $3,616.67 | |
CareSource
| Facility | $7,279.93 | $45,499.55 | $68,249.33 | |
CareSource
| Professional | $52,499.48 | $65,624.34 | $74,999.25 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |