| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $3,683.00 | $7,500.00 | |
Aetna
| Professional | $49.31 | $74.22 | $95.43 | |
Medica
| Facility | $74.22 | $85.35 | $1,172.00 | |
Medica
| Professional | $77.56 | $97.41 | $190.71 | |
United
| Facility | $139.00 | $610.00 | $1,883.00 | |
United
| Professional | $74.77 | $95.96 | $129.91 |