| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $11.05 | $13.00 | $13.00 | |
CareSource
| Facility | $27.33 | $41,999.58 | $55,999.44 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 | |
United
| Professional | $15.75 | $15.75 | $18.59 |