| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $64.57 | $75.86 | $83.18 | |
CareSource
| Facility | $12,302.69 | $56,234.13 | $83,176.38 | |
CareSource
| Professional | $74,131.02 | $74,131.02 | $104,712.85 | |
Molina
| Professional | $44.67 | $44.67 | $44.67 |