| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $12,589.25 | $30,902.95 | $43,651.58 | |
CareSource
| Facility | $43,651.58 | $52,480.75 | $66,069.34 | |
United
| Facility | $2,691.53 | $12,022.64 | $12,882.50 | |
United
| Professional | $1,380.38 | $1,548.82 | $1,905.46 |