| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $0.02 | $0.02 | $0.03 | |
CareSource
| Facility | $66.51 | $66.51 | $81.30 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 | |
United
| Professional | $199.56 | $199.56 | $256.63 |