| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $5,011.87 | $5,011.87 | $5,128.61 | |
Medica
| Professional | $10,715.19 | $10,715.19 | $10,715.19 | |
United
| Facility | $851.14 | $1,122.02 | $2,951.21 | |
United
| Professional | $1,584.89 | $1,949.84 | $2,754.23 |