| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $588.84 | $75,857.76 | $75,857.76 | |
Medica
| Professional | $288.40 | $1,000.00 | $1,000.00 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,995.26 | |
United
| Professional | $229.09 | $295.12 | $407.38 |