| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $78.37 | $126.43 | $214.73 | |
Medica
| Professional | $84.54 | $143.05 | $515.54 | |
Midlands
| Facility | $92.59 | $118.38 | $149.56 | |
Midlands
| Professional | $107.65 | $107.65 | $149.56 | |
United
| Professional | $78.28 | $143.72 | $178.33 |