| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $194.98 | $3,548.13 | $8,128.31 | |
Medica
| Professional | $97.72 | $134.90 | $1,318.26 | |
United
| Facility | $1,862.09 | $2,630.27 | $4,073.80 | |
United
| Professional | $97.72 | $123.03 | $190.55 |