| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $61.01 | $272.29 | $519.37 | |
Medica
| Professional | $137.05 | $290.20 | $422.72 | |
Midlands
| Facility | $240.97 | $339.20 | $422.72 | |
Midlands
| Professional | $339.20 | $422.72 | $438.06 | |
United
| Professional | $192.04 | $208.04 | $336.06 |