| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $1.72 | $1.72 | $5.74 | |
CareSource
| Facility | $66.51 | $59,702.01 | $59,702.01 | |
CareSource
| Professional | $66.51 | $66.51 | $66.51 | |
Molina
| Professional | $30.00 | $30.00 | $50.00 |