| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $1,230.27 | $1,548.82 | |
Aetna
| Professional | $489.78 | $575.44 | $707.95 | |
Medica
| Facility | $562.34 | $707.95 | $954.99 | |
Medica
| Professional | $295.12 | $426.58 | $3,548.13 | |
United
| Facility | $295.12 | $707.95 | $851.14 | |
United
| Professional | $295.12 | $426.58 | $630.96 |