| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $15.93 | $18.73 | $23.51 | |
BCBS
| Professional | $15.75 | $15.75 | $15.75 | |
Medica
| Facility | $0.31 | $13.86 | $100.00 | |
Medica
| Professional | $15.75 | $16.82 | $18.59 | |
United
| Professional | $15.75 | $17.73 | $18.89 |