| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $54.95 | $54.95 | $3,019.95 | |
Medica
| Professional | $2,137.96 | $14,791.08 | $14,791.08 | |
United
| Facility | $2,818.38 | $5,754.40 | $6,918.31 | |
United
| Professional | $1,148.15 | $1,445.44 | $1,819.70 |