| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,513.56 | $2,570.40 | $9,772.37 | |
Medica
| Professional | $1,047.13 | $1,778.28 | $2,630.27 | |
United
| Facility | $5,370.32 | $7,079.46 | $7,585.78 | |
United
| Professional | $1,047.13 | $1,698.24 | $2,398.83 |