| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $3,019.95 | $3,019.95 | $4,466.84 | |
Medica
| Professional | $1,584.89 | $5,128.61 | $5,128.61 | |
United
| Facility | $1,000.00 | $1,479.11 | $15,848.93 | |
United
| Professional | $1,380.38 | $1,778.28 | $2,290.87 |