| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,398.83 | $3,090.30 | $3,090.30 | |
Medica
| Professional | $3,090.30 | $3,090.30 | $3,090.30 | |
United
| Facility | $1,174.90 | $1,548.82 | $6,456.54 | |
United
| Professional | $1,445.44 | $1,659.59 | $1,862.09 |