| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $3,981.07 | $5,011.87 | $5,248.07 | |
Medica
| Professional | $11,220.18 | $11,220.18 | $11,220.18 | |
United
| Facility | $1,174.90 | $1,548.82 | $6,456.54 | |
United
| Professional | $1,202.26 | $1,479.11 | $2,454.71 |