| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
CareSource
| Facility | $136.69 | $15,203.39 | $97,199.02 | |
CareSource
| Professional | $78.75 | $107.07 | $42,187.08 | |
Molina
| Professional | $56.25 | $75.00 | $101.25 |