| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $76.51 | $119.91 | $141.90 | |
Medica
| Professional | $85.95 | $153.74 | $463.54 | |
Midlands
| Facility | $83.37 | $117.48 | $134.15 | |
Midlands
| Professional | $96.49 | $106.11 | $134.15 | |
United
| Professional | $85.95 | $137.93 | $162.27 |