| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $3,981.07 | $5,011.87 | $5,011.87 | |
Medica
| Professional | $11,220.18 | $11,220.18 | $11,220.18 | |
United
| Facility | $851.14 | $1,122.02 | $2,951.21 | |
United
| Professional | $1,288.25 | $1,548.82 | $2,089.30 |