| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $275.20 | $690.00 | $5,833.89 | |
Medica
| Professional | $343.18 | $490.08 | $3,104.08 | |
United
| Facility | $350.00 | $350.00 | $350.00 | |
United
| Professional | $321.45 | $428.82 | $657.56 |