| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $331.13 | $457.09 | $457.09 | |
Medica
| Professional | $776.25 | $776.25 | $776.25 | |
United
| Facility | $851.14 | $1,548.82 | $6,456.54 | |
United
| Professional | $30.20 | $33.88 | $69.18 |