| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $601.16 | $2,211.19 | $3,616.69 | |
BCBS
| Professional | $420.87 | $561.16 | $701.45 | |
Medica
| Facility | $162.31 | $362.20 | $6,124.00 | |
Medica
| Professional | $104.42 | $123.88 | $262.61 | |
United
| Professional | $103.97 | $120.62 | $202.26 |