| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,392.98 | $2,392.98 | $2,392.98 | |
BCBS
| Professional | $1,738.82 | $1,738.82 | $2,300.94 | |
Molina
| Professional | $38.25 | $42.50 | $50.00 | |
United
| Professional | $104.95 | $151.96 | $290.49 |