| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $851.14 | $4,466.84 | $33,113.11 | |
Medica
| Professional | $104.71 | $128.82 | $776.25 | |
United
| Facility | $7,244.36 | $25,703.96 | $46,773.51 | |
United
| Professional | $100.00 | $120.23 | $257.04 |