| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $0.02 | $0.02 | $0.03 | |
Anthem BCBS
| Professional | $2,408.33 | $2,833.33 | $2,833.33 | |
CareSource
| Facility | $41,999.58 | $62,999.37 | $4,638,769.00 | |
CareSource
| Professional | $2,342,812.50 | $3,123,750.00 | $4,638,768.75 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 |