| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.81 | $407.38 | $645.65 | |
Medica
| Facility | $30.20 | $501.19 | $549.54 | |
Medica
| Professional | $41.69 | $53.70 | $489.78 | |
United
| Facility | $51.29 | $51.29 | $51.29 | |
United
| Professional | $41.69 | $52.48 | $70.79 |