| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $562.34 | $6,165.95 | $15,135.61 | |
Medica
| Professional | $616.60 | $831.76 | $4,677.35 | |
United
| Facility | $2,691.53 | $4,897.79 | $8,709.64 | |
United
| Professional | $602.56 | $794.33 | $1,148.15 |