| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $245.47 | $7,413.10 | $31,622.78 | |
Medica
| Professional | $257.04 | $346.74 | $2,089.30 | |
United
| Facility | $234.42 | $26,302.68 | $28,183.83 | |
United
| Professional | $269.15 | $346.74 | $467.74 |