| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $257.04 | $257.04 | $501.19 | |
Medica
| Professional | $794.33 | $794.33 | $794.33 | |
United
| Facility | $338.84 | $630.96 | $1,380.38 | |
United
| Professional | $181.97 | $245.47 | $331.13 |