| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $228.18 | $720.00 | $2,160.00 | |
Medica
| Professional | $345.02 | $601.57 | $848.43 | |
United
| Professional | $327.36 | $601.57 | $848.43 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $228.18 | $720.00 | $2,160.00 | |
Medica
| Professional | $345.02 | $601.57 | $848.43 | |
United
| Professional | $327.36 | $601.57 | $848.43 |