| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $26.60 | $60.69 | $115.77 | |
Medica
| Professional | $52.15 | $107.96 | $363.86 | |
Midlands
| Facility | $61.07 | $83.52 | $96.69 | |
Midlands
| Professional | $75.95 | $75.95 | $99.29 | |
United
| Professional | $51.43 | $107.06 | $149.28 |