| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $331.13 | $11,481.54 | $151,356.12 | |
Medica
| Professional | $302.00 | $467.74 | $912.01 | |
Midlands
| Professional | $426.58 | $457.09 | $645.65 | |
Midlands
| Professional | $489.78 | $489.78 | $489.78 | |
United
| Facility | $123.03 | $15,848.93 | $34,673.69 | |
United
| Professional | $346.74 | $446.68 | $645.65 |