| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $3,215.47 | $3,215.47 | $3,215.47 | |
BCBS
| Professional | $3,054.70 | $3,344.09 | $4,340.88 | |
Health Alliance Plan
| Facility | $258.85 | $4,933.00 | $4,933.00 | |
Health Alliance Plan
| Professional | $258.85 | $269.37 | $538.58 | |
United
| Professional | $311.41 | $390.98 | $769.43 |