| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.02 | |
CareSource
| Facility | $47,249.53 | $85,049.15 | $115,423.80 | |
CareSource
| Professional | $37,499.62 | $67,499.33 | $97,199.03 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |