| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $398.11 | $707.95 | $3,162.28 | |
Medica
| Professional | $501.19 | $1,000.00 | $3,630.78 | |
Midlands
| Professional | $741.31 | $741.31 | $741.31 | |
United
| Professional | $501.19 | $724.44 | $1,548.82 |