| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $480.55 | $6,863.00 | $31,505.00 | |
Medica
| Professional | $118.77 | $164.76 | $4,390.95 | |
United
| Professional | $118.20 | $166.41 | $708.38 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $480.55 | $6,863.00 | $31,505.00 | |
Medica
| Professional | $118.77 | $164.76 | $4,390.95 | |
United
| Professional | $118.20 | $166.41 | $708.38 |