| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $27,662.52 | $51,027.60 | $80,491.25 | |
Medcost
| Facility | $271.79 | $302.79 | $615.71 | |
Medcost
| Professional | $40,781.69 | $40,781.69 | $40,781.69 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $288.79 | $434.79 | $788.82 |