| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $162.18 | $2,884.03 | $6,456.54 | |
Medica
| Professional | $117.49 | $147.91 | $1,318.26 | |
United
| Facility | $467.74 | $2,570.40 | $2,951.21 | |
United
| Professional | $117.49 | $151.36 | $204.17 |