| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $9,444.76 | $15,004.39 | $23,706.76 | |
BCBS
| Professional | $606.12 | $606.12 | $606.12 | |
Medica
| Facility | $1,285.56 | $1,588.04 | $13,541.98 | |
Medica
| Professional | $785.17 | $995.80 | $1,429.38 | |
United
| Facility | $5,175.30 | $5,175.30 | $5,625.32 | |
United
| Professional | $785.17 | $995.80 | $1,425.61 |