| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $173.78 | $1,412.54 | $33,113.11 | |
Medica
| Professional | $295.12 | $371.54 | $758.58 | |
United
| Facility | $7,244.36 | $25,703.96 | $30,902.95 | |
United
| Professional | $275.42 | $354.81 | $562.34 |