| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $22.80 | $91.72 | $183.22 | |
BCBS
| Professional | $19.70 | $22.51 | $25.33 | |
Medica
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Professional | $6.84 | $6.84 | $25.00 | |
United
| Professional | $25.00 | $25.00 | $25.00 |