| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $60.26 | $102.33 | $7,079.46 | |
Medica
| Professional | $70.79 | $123.03 | $32,359.37 | |
Midlands
| Professional | $85.11 | $85.11 | $93.33 | |
United
| Professional | $72.44 | $128.82 | $181.97 |