| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $3,019.95 | $3,019.95 | $3,019.95 | |
Medica
| Professional | $5,128.61 | $5,128.61 | $5,128.61 | |
United
| Facility | $851.14 | $1,445.44 | $2,951.21 | |
United
| Professional | $1,548.82 | $2,041.74 | $2,290.87 |