| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $1,288.25 | $1,621.81 | |
Aetna
| Professional | $524.81 | $602.56 | $741.31 | |
Medica
| Facility | $588.84 | $741.31 | $1,000.00 | |
Medica
| Professional | $309.03 | $446.68 | $3,715.35 | |
United
| Facility | $309.03 | $741.31 | $891.25 | |
United
| Professional | $309.03 | $446.68 | $660.69 |