| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,519.58 | $1,519.58 | $9,500.00 | |
Aetna
| Professional | $1,346.54 | $2,073.35 | $5,083.20 | |
Medica
| Facility | $1,519.58 | $2,626.94 | $3,657.22 | |
Medica
| Professional | $2,345.10 | $4,467.82 | $5,756.25 | |
United
| Professional | $2,345.10 | $4,219.60 | $5,159.22 |