| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $750.00 | $801.96 | $1,963.35 | |
Medica
| Professional | $138.41 | $230.68 | $4,390.95 | |
Midlands
| Facility | $253.72 | $802.55 | $63,311.31 | |
Midlands
| Professional | $210.26 | $253.72 | $849.83 | |
United
| Professional | $138.41 | $308.98 | $1,310.03 |