| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $459.93 | $459.93 | $459.93 | |
Medica
| Facility | $784.58 | $784.58 | $784.58 | |
Medica
| Professional | $496.00 | $2,254.55 | $2,254.55 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $459.93 | $459.93 | $459.93 | |
Medica
| Facility | $784.58 | $784.58 | $784.58 | |
Medica
| Professional | $496.00 | $2,254.55 | $2,254.55 |