| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $933.25 | $51,286.14 | $51,286.14 | |
Medica
| Professional | $537.03 | $2,454.71 | $2,454.71 | |
United
| Facility | $3,162.28 | $3,162.28 | $10,715.19 | |
United
| Professional | $331.13 | $426.58 | $575.44 |