| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $3,683.00 | $7,500.00 | |
Aetna
| Professional | $467.02 | $878.86 | $1,067.07 | |
Medica
| Facility | $491.00 | $878.86 | $1,541.00 | |
Medica
| Professional | $396.12 | $733.32 | $1,690.95 | |
United
| Facility | $139.00 | $610.00 | $1,883.00 | |
United
| Professional | $370.85 | $569.41 | $1,491.38 |