| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,122.02 | $10,232.93 | $10,232.93 | |
Medica
| Professional | $1,905.46 | $1,905.46 | $1,905.46 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,995.26 | |
United
| Professional | $354.81 | $501.19 | $660.69 |