| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,905.46 | $2,818.38 | $13,803.84 | |
Medica
| Professional | $794.33 | $3,801.89 | $3,801.89 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,995.26 | |
United
| Professional | $616.60 | $776.25 | $1,071.52 |