| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,187.76 | $2,818.38 | $22,908.68 | |
Medica
| Professional | $912.01 | $4,365.16 | $4,365.16 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,995.26 | |
United
| Professional | $707.95 | $891.25 | $1,230.27 |