| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $218.78 | $257.04 | $3,162.28 | |
Medica
| Professional | $117.49 | $199.53 | $1,318.26 | |
Midlands
| Professional | $208.93 | $208.93 | $251.19 | |
United
| Professional | $117.49 | $239.88 | $331.13 |