| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $117.49 | $2,137.96 | $10,232.93 | |
Medica
| Professional | $117.49 | $181.97 | $1,318.26 | |
United
| Facility | $2,137.96 | $2,630.27 | $3,019.95 | |
United
| Professional | $117.49 | $165.96 | $269.15 |