| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,174.90 | $8,511.38 | $26,302.68 | |
Medica
| Professional | $501.19 | $3,981.07 | $3,981.07 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,995.26 | |
United
| Professional | $363.08 | $457.09 | $588.84 |