| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $147,910.84 | $147,910.84 | $147,910.84 | |
Medica
| Professional | $2,089.30 | $2,089.30 | $2,089.30 | |
United
| Facility | $309.03 | $15,848.93 | $34,673.69 | |
United
| Professional | $416.87 | $416.87 | $467.74 |