| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,584.89 | $3,090.30 | $5,754.40 | |
Medica
| Facility | $1,202.26 | $1,202.26 | $1,202.26 | |
Molina
| Professional | $50.12 | $58.88 | $70.79 | |
United
| Facility | $2,884.03 | $2,884.03 | $3,019.95 |