| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $831.76 | $977.24 | $5,370.32 | |
Medica
| Professional | $616.60 | $1,000.00 | $4,677.35 | |
Midlands
| Professional | $891.25 | $891.25 | $891.25 | |
United
| Professional | $741.31 | $1,230.27 | $1,905.46 |