| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $4.90 | $11.75 | $53.70 | |
Hally Health
| Professional | $3.31 | $4.47 | $199.53 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $4.57 | $4.57 | $4.57 | |
United
| Facility | $5.25 | $5.89 | $5.89 | |
United
| Professional | $5.25 | $5.25 | $5.37 |