| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $136.38 | $136.38 | $136.38 | |
Medica
| Facility | $240.00 | $240.00 | $240.00 |
Medical Social Services - Visit Charge
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $136.38 | $136.38 | $136.38 | |
Medica
| Facility | $240.00 | $240.00 | $240.00 |