| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $138.47 | $327.16 | $809.07 | |
BCBS
| Professional | $140.63 | $173.10 | $408.94 | |
Medica
| Facility | $85.00 | $100.00 | $100.00 | |
Medica
| Professional | $199.56 | $199.56 | $199.56 | |
United
| Professional | $199.56 | $199.56 | $199.56 |