| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $331.13 | $331.13 | $457.09 | |
Medica
| Professional | $38.02 | $776.25 | $776.25 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,995.26 | |
United
| Professional | $28.84 | $37.15 | $48.98 |