| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $833.36 | $2,847.00 | $3,500.00 | |
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
CareSource
| Facility | $33,749.66 | $34,999.65 | $46,249.54 | |
CareSource
| Professional | $33,749.66 | $40,499.60 | $50,624.49 |