| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $933.25 | $933.25 | $51,286.14 | |
Medica
| Professional | $2,454.71 | $2,454.71 | $2,454.71 | |
United
| Facility | $3,630.78 | $7,943.28 | $16,982.44 | |
United
| Professional | $338.84 | $416.87 | $794.33 |