| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,576.00 | $7,500.00 | |
Aetna
| Professional | $48.98 | $48.98 | $48.98 | |
Medica
| Facility | $48.98 | $176.47 | $1,500.00 | |
Medica
| Professional | $17.87 | $30.37 | $547.67 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 | |
United
| Professional | $16.38 | $22.37 | $32.83 |