| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $5,194.35 | $5,194.35 | $5,194.35 | |
BCBS
| Professional | $819.87 | $819.87 | $819.87 | |
Molina
| Professional | $38.25 | $42.50 | $50.00 | |
United
| Professional | $964.62 | $1,286.16 | $2,431.71 |