| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $831.76 | $147,910.84 | $147,910.84 | |
Medica
| Professional | $2,089.30 | $2,089.30 | $2,089.30 | |
United
| Facility | $4,168.69 | $4,897.79 | $8,511.38 | |
United
| Professional | $239.88 | $436.52 | $616.60 |