| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,258.93 | $8,511.38 | $26,302.68 | |
Medica
| Professional | $562.34 | $4,265.80 | $4,265.80 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,995.26 | |
United
| Professional | $389.05 | $501.19 | $660.69 |