| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $537.03 | $1,819.70 | |
Aetna
| Professional | $229.09 | $269.15 | $338.84 | |
Medica
| Facility | $234.42 | $346.74 | $630.96 | |
Medica
| Professional | $147.91 | $147.91 | $1,737.80 | |
United
| Facility | $316.23 | $346.74 | $416.87 | |
United
| Professional | $147.91 | $147.91 | $208.93 |