| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $1.72 | $1.72 | $5.74 | |
CareSource
| Facility | $66.51 | $66.51 | $86.22 | |
CareSource
| Professional | $66.51 | $79.81 | $99.77 | |
United
| Professional | $2,811.88 | $2,811.88 | $3,486.73 |