| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $988.81 | $1,369.11 | $29,378.52 | |
Medica
| Professional | $2,031.55 | $4,448.80 | $4,448.80 | |
Midlands
| Facility | $988.81 | $24,858.75 | $31,638.41 | |
Midlands
| Professional | $988.81 | $1,088.00 | $2,031.55 |