| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $331.13 | $5,011.87 | $120,226.44 | |
Medica
| Professional | $117.49 | $181.97 | $4,365.16 | |
United
| Facility | $4,168.69 | $4,897.79 | $41,686.94 | |
United
| Professional | $117.49 | $169.82 | $831.76 |