| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $812.83 | $11,481.54 | $30,902.95 | |
Medica
| Professional | $12,882.50 | $16,595.87 | $42,657.95 | |
United
| Facility | $10,964.78 | $17,378.01 | $25,703.96 | |
United
| Professional | $741.31 | $9,772.37 | $19,054.61 |