| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $91.46 | $2,450.00 | $6,307.00 | |
Medica
| Professional | $143.46 | $341.03 | $1,397.00 | |
United
| Facility | $7,705.55 | $7,705.55 | $7,705.55 | |
United
| Professional | $124.26 | $321.26 | $434.93 |