| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $11.00 | $15.81 | $84.19 | |
Medica
| Facility | $2,553.00 | $4,602.00 | $9,547.50 | |
Molina
| Professional | $50.00 | $55.00 | $70.00 | |
United
| Facility | $2,203.00 | $4,810.00 | $19,003.00 |