| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,454.71 | $6,606.93 | |
Aetna
| Professional | $20.89 | $57.54 | $87.10 | |
Medica
| Facility | $48.98 | $398.11 | $1,584.89 | |
Medica
| Professional | $17.38 | $24.55 | $549.54 | |
United
| Facility | $100.00 | $616.60 | $1,659.59 | |
United
| Professional | $16.98 | $21.38 | $31.62 |