| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $119.43 | $119.43 | $119.43 | |
BCBS
| Professional | $337.00 | $337.00 | $337.00 | |
Molina
| Professional | $42.50 | $50.00 | $80.00 | |
United
| Facility | $190.63 | $190.63 | $190.63 | |
United
| Professional | $145.11 | $217.51 | $434.00 |