| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,742.00 | $18,600.00 | |
Aetna
| Professional | $51.97 | $82.03 | $82.03 | |
Medica
| Facility | $80.01 | $96.57 | $1,172.00 | |
Medica
| Professional | $85.58 | $107.65 | $210.40 | |
United
| Facility | $139.00 | $610.00 | $1,883.00 | |
United
| Professional | $82.49 | $105.23 | $143.32 |