| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $36.84 | $57.34 | $1,888.30 | |
Medica
| Professional | $39.36 | $68.88 | $5,749.92 | |
Midlands
| Facility | $44.70 | $51.76 | $1,307.24 | |
Midlands
| Professional | $40.65 | $44.70 | $67.84 | |
United
| Professional | $42.72 | $68.88 | $1,692.68 |