| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $602.56 | $758.58 | |
Aetna
| Professional | $234.42 | $281.84 | $346.74 | |
Medica
| Facility | $281.84 | $346.74 | $467.74 | |
Medica
| Professional | $147.91 | $208.93 | $1,737.80 | |
United
| Facility | $147.91 | $346.74 | $416.87 | |
United
| Professional | $147.91 | $208.93 | $309.03 |