| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $309.03 | $371.54 | $7,943.28 | |
Medica
| Professional | $295.12 | $588.84 | $2,089.30 | |
Midlands
| Professional | $426.58 | $426.58 | $426.58 | |
United
| Professional | $295.12 | $426.58 | $912.01 |