| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $17.38 | $21.38 | $43.65 | |
BCBS
| Professional | $69.18 | $69.18 | $69.18 | |
Moda Health
| Facility | $19.05 | $19.05 | $24.55 | |
Molina
| Professional | $77.62 | $77.62 | $77.62 | |
United
| Professional | $19.95 | $19.95 | $22.91 |