| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,655.07 | $2,015.55 | $6,213.63 | |
Medica
| Facility | $122.37 | $414.01 | $1,052.35 | |
Medica
| Professional | $172.51 | $338.12 | $6,299.47 | |
United
| Professional | $172.51 | $326.91 | $604.37 |