| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,454.71 | $6,606.93 | |
Aetna
| Professional | $275.42 | $354.81 | $1,000.00 | |
Medica
| Facility | $269.15 | $489.78 | $1,862.09 | |
Medica
| Professional | $338.84 | $436.52 | $831.76 | |
United
| Facility | $138.04 | $630.96 | $1,659.59 | |
United
| Professional | $316.23 | $416.87 | $575.44 |