| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $63.90 | $75.18 | $84.73 | |
CareSource
| Facility | $7,839.92 | $50,749.49 | $83,999.17 | |
CareSource
| Professional | $73,499.27 | $104,998.95 | $104,998.95 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |