| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $22.50 | $22.50 | $22.50 | |
BCBS
| Professional | $21.38 | $23.63 | $30.38 | |
Health Alliance Plan
| Professional | $17.50 | $17.50 | $17.50 | |
Molina
| Professional | $30.00 | $30.00 | $50.00 |