| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $346.74 | $1,258.93 | $5,888.44 | |
Medica
| Professional | $354.81 | $478.63 | $4,570.88 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,995.26 | |
United
| Professional | $346.74 | $436.52 | $660.69 |