| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $131.83 | $131.83 | $794.33 | |
Medica
| Professional | $223.87 | $223.87 | $223.87 | |
United
| Facility | $831.76 | $1,479.11 | $3,388.44 | |
United
| Professional | $45.71 | $56.23 | $107.15 |