| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $63.71 | $74.95 | $115.10 | |
Medica
| Facility | $84.02 | $4,025.27 | $11,002.92 | |
Medica
| Professional | $67.45 | $99.43 | $32,026.29 | |
United
| Professional | $61.17 | $93.25 | $171.12 |