| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $85.00 | $85.00 | $85.00 | |
United
| Facility | $38.61 | $38.61 | $38.61 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $85.00 | $85.00 | $85.00 | |
United
| Facility | $38.61 | $38.61 | $38.61 |