| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $575.44 | $11,481.54 | $239,883.29 | |
Medica
| Professional | $158.49 | $229.09 | $1,412.54 | |
Midlands
| Professional | $208.93 | $251.19 | $1,122.02 | |
Midlands
| Professional | $1,737.80 | $1,737.80 | $1,737.80 | |
United
| Facility | $537.03 | $34,673.69 | $42,657.95 | |
United
| Professional | $134.90 | $204.17 | $1,202.26 |