| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $856.00 | $4,320.00 | $8,230.00 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
CareSource
| Facility | $26,999.73 | $29,999.70 | $60,749.39 | |
CareSource
| Professional | $26,999.73 | $32,399.68 | $40,499.60 | |
United
| Facility | $933.00 | $2,252.00 | $4,426.00 |