| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $32.50 | $400.00 | $1,460.00 | |
Anthem BCBS
| Professional | $13.75 | $32.50 | $46.15 | |
CareSource
| Facility | $43,749.56 | $52,499.48 | $89,999.10 | |
United
| Facility | $2,062.00 | $5,167.00 | $10,396.00 |