| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $380.19 | $501.19 | $741.31 | |
Medica
| Professional | $354.81 | $501.19 | $2,344.23 | |
United
| Facility | $426.58 | $436.52 | $457.09 | |
United
| Professional | $354.81 | $467.74 | $588.84 |