| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $5,349.93 | $5,349.93 | $9,520.45 | |
BCBS
| Professional | $1,738.82 | $1,738.82 | $2,712.80 | |
Molina
| Professional | $38.25 | $42.50 | $50.00 | |
United
| Professional | $719.99 | $993.71 | $2,265.36 |