| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $203.55 | $2,547.03 | $7,639.58 | |
Medica
| Facility | $2,259.66 | $4,392.63 | $11,100.38 | |
Medica
| Professional | $1,055.57 | $1,507.95 | $13,612.50 | |
United
| Professional | $1,055.57 | $1,507.95 | $4,016.93 |