| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $11.48 | $19.95 | $77.62 | |
Hally Health
| Professional | $9.33 | $21.88 | $151.36 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $6.03 | $6.03 | $6.03 | |
United
| Facility | $5.25 | $5.25 | $5.25 | |
United
| Professional | $5.25 | $5.25 | $5.37 |