| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $220.24 | $220.24 | $220.24 | |
Medica
| Facility | $306.57 | $306.57 | $306.57 | |
Medica
| Professional | $246.67 | $616.66 | $616.66 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $220.24 | $220.24 | $220.24 | |
Medica
| Facility | $306.57 | $306.57 | $306.57 | |
Medica
| Professional | $246.67 | $616.66 | $616.66 |