| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $15.85 | $15.85 | $85.11 | |
Medica
| Facility | $2,454.71 | $4,570.88 | $19,054.61 | |
Molina
| Professional | $50.12 | $58.88 | $70.79 | |
United
| Facility | $2,290.87 | $6,165.95 | $19,498.45 |