| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $831.76 | $147,910.84 | $147,910.84 | |
Medica
| Professional | $467.74 | $2,089.30 | $2,089.30 | |
United
| Facility | $4,786.30 | $4,786.30 | $25,703.96 | |
United
| Professional | $288.40 | $380.19 | $501.19 |