| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $676.08 | $6,025.60 | $10,715.19 | |
Medica
| Professional | $645.65 | $794.33 | $1,584.89 | |
United
| Facility | $5,128.61 | $5,495.41 | $7,943.28 | |
United
| Professional | $575.44 | $758.58 | $1,174.90 |