| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $278.38 | $348.33 | $428.46 | |
Hally Health
| Professional | $120.00 | $345.40 | $345.40 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $40.00 | $2,500.00 | $2,500.00 |