| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $54.95 | $6,760.83 | $18,197.01 | |
Medica
| Professional | $10,964.78 | $15,135.61 | $64,565.42 | |
United
| Facility | $3,311.31 | $14,791.08 | $16,218.10 | |
United
| Professional | $812.83 | $9,772.37 | $17,378.01 |