| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $126.83 | $221.27 | $329.68 | |
Medica
| Facility | $183.76 | $565.48 | $46,408.00 | |
Medica
| Professional | $298.36 | $414.22 | $2,105.28 | |
United
| Professional | $308.89 | $378.09 | $649.10 |