| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $213.80 | $16,218.10 | $16,218.10 | |
Medica
| Professional | $630.96 | $691.83 | $691.83 | |
United
| Facility | $851.14 | $1,122.02 | $2,951.21 | |
United
| Professional | $24.55 | $36.31 | $147.91 |