| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $61.66 | $107.15 | $426.58 | |
Hally Health
| Professional | $29.51 | $100.00 | $346.74 | |
Hally Health
| Facility | $100.00 | $100.00 | $100.00 | |
Molina
| Professional | $36.31 | $36.31 | $36.31 | |
United
| Facility | $30.20 | $30.20 | $30.20 | |
United
| Professional | $30.20 | $30.20 | $31.62 |