| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $5,080.10 | $5,080.10 | $11,678.40 | |
Medica
| Professional | $11,678.40 | $11,678.40 | $11,678.40 | |
United
| Facility | $2,919.60 | $2,919.60 | $4,087.44 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $5,080.10 | $5,080.10 | $11,678.40 | |
Medica
| Professional | $11,678.40 | $11,678.40 | $11,678.40 | |
United
| Facility | $2,919.60 | $2,919.60 | $4,087.44 |