| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $776.25 | $776.25 | $1,819.70 | |
Medica
| Professional | $2,238.72 | $2,238.72 | $2,238.72 | |
United
| Facility | $446.68 | $660.69 | $660.69 | |
United
| Professional | $190.55 | $190.55 | $269.15 |