| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,018.82 | $2,555.98 | $4,497.85 | |
Medica
| Professional | $1,040.33 | $1,702.78 | $2,648.77 | |
Midlands
| Facility | $1,625.24 | $8,855.54 | $12,731.74 | |
Midlands
| Professional | $1,625.24 | $1,625.24 | $1,625.24 | |
United
| Professional | $1,040.33 | $1,702.78 | $2,648.77 |