| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $2,089.30 | $9,549.93 | |
Aetna
| Professional | $1,513.56 | $2,187.76 | $5,128.61 | |
Medica
| Facility | $1,513.56 | $2,630.27 | $3,630.78 | |
Medica
| Professional | $1,995.26 | $4,265.80 | $5,754.40 | |
United
| Facility | $1,819.70 | $2,041.74 | $24,547.09 | |
United
| Professional | $1,995.26 | $3,630.78 | $5,011.87 |