| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $407.38 | $3,630.78 | $16,982.44 | |
Medica
| Professional | $616.60 | $1,174.90 | $4,677.35 | |
United
| Facility | $2,884.03 | $3,467.37 | $5,248.07 | |
United
| Professional | $645.65 | $1,122.02 | $1,778.28 |