| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $54.95 | $4,168.69 | $5,888.44 | |
Medica
| Professional | $1,348.96 | $2,187.76 | $14,125.38 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,995.26 | |
United
| Professional | $1,047.13 | $1,258.93 | $1,995.26 |