| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $3,683.00 | $7,500.00 | |
Aetna
| Professional | $193.21 | $304.67 | $391.90 | |
Medica
| Facility | $304.67 | $358.99 | $1,541.00 | |
Medica
| Professional | $334.99 | $433.51 | $716.47 | |
United
| Facility | $139.00 | $610.00 | $1,883.00 | |
United
| Professional | $327.10 | $423.91 | $616.08 |