| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $302.00 | $758.58 | $758.58 | |
Medica
| Professional | $1,174.90 | $1,174.90 | $1,174.90 | |
United
| Facility | $32.36 | $199.53 | $234.42 | |
United
| Professional | $138.04 | $169.82 | $263.03 |