| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $5.62 | $18.20 | $26.92 | |
BCBS
| Professional | $5.62 | $11.22 | $26.92 | |
Medica
| Facility | $4.90 | $6.76 | $100.00 | |
Medica
| Professional | $5.89 | $5.89 | $5.89 | |
United
| Professional | $5.89 | $5.89 | $5.89 |