| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $3,683.00 | $7,500.00 | |
Aetna
| Professional | $48.08 | $75.59 | $97.28 | |
Medica
| Facility | $75.59 | $86.93 | $1,172.00 | |
Medica
| Professional | $78.83 | $99.46 | $193.81 | |
United
| Facility | $139.00 | $610.00 | $1,883.00 | |
United
| Professional | $75.98 | $96.10 | $132.02 |