| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,369.50 | $1,820.00 | $2,520.00 |
Medica
| Facility | QK | $39.50 | $39.50 | $52.00 |
Medica
| Facility | QX | $39.50 | $39.50 | $52.00 |
Medica
| Facility | QY | $39.50 | $39.50 | $52.00 |