| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $6,456.54 | $14,791.08 | $16,218.10 | |
DeanCare
| Facility | $6,760.83 | $8,128.31 | $14,791.08 | |
Medica
| Facility | $5,370.32 | $15,135.61 | $25,703.96 | |
Molina
| Professional | $32.36 | $54.95 | $85.11 | |
United
| Facility | $13,489.63 | $14,125.38 | $15,488.17 |