| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $3,436.87 | $3,436.87 | $3,436.87 | |
Medica
| Facility | $2,347.65 | $4,801.50 | $6,659.29 | |
Medica
| Professional | $1,130.96 | $1,507.95 | $24,651.00 | |
United
| Professional | $1,130.96 | $1,507.95 | $3,769.88 |