| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $32.36 | $32.36 | $63.10 | |
Anthem BCBS
| Professional | $15.85 | $32.36 | $57.54 | |
CareSource
| Facility | $43,651.58 | $52,480.75 | $66,069.34 | |
United
| Facility | $1,412.54 | $5,623.41 | $12,022.64 |