| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.54 | $1,096.48 | $3,715.35 | |
Aetna
| Professional | $467.74 | $549.54 | $691.83 | |
Medica
| Facility | $478.63 | $707.95 | $1,288.25 | |
Medica
| Professional | $295.12 | $295.12 | $3,548.13 | |
United
| Facility | $645.65 | $707.95 | $851.14 | |
United
| Professional | $295.12 | $295.12 | $426.58 |