| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,548.82 | $21,379.62 | $21,379.62 | |
Medica
| Professional | $812.83 | $3,715.35 | $3,715.35 | |
United
| Facility | $2,187.76 | $2,187.76 | $5,370.32 | |
United
| Professional | $501.19 | $676.08 | $954.99 |