| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $294.99 | $294.99 | $8,500.00 | |
Aetna
| Professional | $294.39 | $294.99 | $783.36 | |
Medica
| Facility | $294.99 | $765.80 | $1,049.89 | |
Medica
| Professional | $459.82 | $773.08 | $1,283.97 | |
United
| Professional | $459.82 | $785.70 | $1,089.81 |