| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $3,185.00 | $9,153.00 | $60,320.00 | |
CareSource
| Facility | $65,624.34 | $65,624.34 | $65,624.34 | |
CareSource
| Professional | $104,998.95 | $104,998.95 | $104,998.95 | |
United
| Facility | $3,086.00 | $3,086.00 | $3,454.00 |