| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,712.56 | $5,263.12 | $8,868.89 | |
Medcost
| Facility | $399.05 | $520.28 | $842.80 | |
Medcost
| Professional | $2,955.84 | $2,955.84 | $2,955.84 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $542.85 | $784.57 | $1,353.15 |