| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $645.65 | $1,023.29 | $7,943.28 | |
Medica
| Professional | $117.49 | $218.78 | $4,365.16 | |
Midlands
| Professional | $208.93 | $208.93 | $251.19 | |
United
| Professional | $117.49 | $239.88 | $1,737.80 |