| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $81.45 | $2,665.00 | $8,079.85 | |
Medica
| Professional | $60.72 | $124.26 | $1,397.00 | |
United
| Facility | $1,243.00 | $2,839.77 | $3,086.71 | |
United
| Professional | $55.66 | $124.08 | $181.07 |