| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $23.44 | $66.07 | $144.54 | |
BCBS
| Professional | $19.50 | $25.70 | $40.74 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $6.92 | $6.92 | $25.12 | |
United
| Professional | $25.12 | $25.12 | $575.44 |