| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $457.09 | $457.09 | $457.09 | |
Medica
| Facility | $776.25 | $776.25 | $776.25 | |
Medica
| Professional | $501.19 | $2,238.72 | $2,238.72 | |
United
| Facility | $295.12 | $446.68 | $724.44 | |
United
| Professional | $190.55 | $269.15 | $380.19 |