| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $5,987.81 | $5,987.81 | $5,987.81 | |
BCBS
| Professional | $5,688.42 | $6,227.32 | $8,083.54 | |
Health Alliance Plan
| Facility | $628.16 | $4,933.00 | $4,933.00 | |
Health Alliance Plan
| Professional | $251.47 | $834.87 | $960.10 | |
Molina
| Professional | $75.00 | $75.00 | $75.00 | |
United
| Professional | $770.23 | $990.25 | $1,261.01 |