| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $66.07 | $89.13 | $147.91 | |
CareSource
| Facility | $41,686.94 | $45,708.82 | $67,608.30 | |
CareSource
| Professional | $75,857.76 | $75,857.76 | $75,857.76 | |
Molina
| Professional | $39.81 | $50.12 | $60.26 | |
SummaCare
| Professional | $60.26 | $60.26 | $75.86 |