| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $78.19 | $132.91 | $234.57 | |
Medica
| Professional | $117.65 | $216.58 | $288.87 | |
United
| Professional | $126.87 | $241.08 | $288.87 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $78.19 | $132.91 | $234.57 | |
Medica
| Professional | $117.65 | $216.58 | $288.87 | |
United
| Professional | $126.87 | $241.08 | $288.87 |