| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,742.00 | $18,600.00 | |
Aetna
| Professional | $52.51 | $82.59 | $82.59 | |
Medica
| Facility | $81.29 | $98.11 | $1,172.00 | |
Medica
| Professional | $86.52 | $108.63 | $212.70 | |
United
| Facility | $139.00 | $610.00 | $1,883.00 | |
United
| Professional | $83.39 | $104.24 | $144.88 |