| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $3,019.95 | $3,019.95 | $4,466.84 | |
Medica
| Professional | $5,128.61 | $5,128.61 | $5,128.61 | |
United
| Facility | $1,174.90 | $1,548.82 | $6,456.54 | |
United
| Professional | $1,380.38 | $1,659.59 | $2,630.27 |