| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $13.00 | $13.00 | $14.82 | |
Medica
| Facility | $14.18 | $14.18 | $14.18 | |
Medica
| Professional | $15.75 | $15.75 | $23.63 | |
Molina
| Professional | $55.00 | $55.00 | $65.00 | |
United
| Professional | $15.75 | $15.75 | $25.20 |