| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,041.00 | $1,991.00 | $2,894.00 | |
CareSource
| Facility | $560.20 | $47,999.52 | $47,999.52 | |
CareSource
| Professional | $80,849.19 | $80,849.19 | $80,849.19 | |
Molina
| Professional | $64.65 | $77.58 | $87.27 |