| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $269.15 | $17,782.79 | $40,738.03 | |
Medica
| Professional | $275.42 | $380.19 | $2,089.30 | |
United
| Facility | $4,786.30 | $25,703.96 | $27,542.29 | |
United
| Professional | $288.40 | $371.54 | $512.86 |