| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $19.05 | $61.66 | $93.33 | |
BCBS
| Professional | $19.05 | $38.02 | $93.33 | |
Medica
| Facility | $16.22 | $23.44 | $100.00 | |
Medica
| Professional | $19.95 | $19.95 | $19.95 | |
United
| Professional | $19.95 | $19.95 | $19.95 |