| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $27,364.02 | $50,933.40 | $85,524.91 | |
BCBS
| Professional | $750.00 | $787.50 | $937.50 | |
Medcost
| Facility | $104.88 | $107.32 | $750.00 | |
Medcost
| Professional | $36,205.61 | $36,205.61 | $36,205.61 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $108.68 | $187.49 | $420.19 |