| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $660.69 | $870.96 | $1,698.24 | |
Medica
| Facility | $1,174.90 | $1,412.54 | $1,584.89 | |
United
| Facility | $239.88 | $1,148.15 | $1,778.28 | |
United
| Professional | $489.78 | $489.78 | $489.78 |