| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,000.00 | $25,118.86 | $87,096.36 | |
Medica
| Professional | $2,041.74 | $4,466.84 | $4,466.84 | |
Midlands
| Professional | $1,000.00 | $1,000.00 | $1,000.00 | |
United
| Professional | $537.03 | $645.65 | $1,513.56 |