| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $5,011.87 | $5,011.87 | $7,079.46 | |
Medica
| Professional | $11,220.18 | $11,220.18 | $11,220.18 | |
United
| Facility | $1,000.00 | $1,659.59 | $1,995.26 | |
United
| Professional | $1,479.11 | $1,862.09 | $2,511.89 |