| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,951.21 | $2,951.21 | $3,548.13 | |
Medica
| Professional | $7,079.46 | $7,079.46 | $7,079.46 | |
United
| Facility | $2,041.74 | $2,951.21 | $2,951.21 | |
United
| Professional | $851.14 | $851.14 | $1,230.27 |