| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $54.95 | $3,090.30 | $5,128.61 | |
Medica
| Professional | $14,125.38 | $14,125.38 | $14,125.38 | |
United
| Facility | $1,122.02 | $1,548.82 | $6,456.54 | |
United
| Professional | $1,047.13 | $1,288.25 | $2,041.74 |