| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $199.53 | $5,128.61 | $10,715.19 | |
Medica
| Professional | $158.49 | $223.87 | $446.68 | |
Midlands
| Professional | $208.93 | $251.19 | $436.52 | |
Midlands
| Professional | $354.81 | $354.81 | $354.81 | |
United
| Facility | $436.52 | $2,691.53 | $6,918.31 | |
United
| Professional | $134.90 | $204.17 | $380.19 |