| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $30.20 | $38.02 | $75.86 | |
BCBS
| Professional | $123.03 | $123.03 | $123.03 | |
Moda Health
| Facility | $28.18 | $28.18 | $43.65 | |
Molina
| Professional | $77.62 | $77.62 | $77.62 | |
United
| Professional | $30.20 | $30.20 | $30.20 |