| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,655.00 | $13,151.00 | |
Aetna
| Professional | $52.69 | $60.75 | $60.75 | |
Medica
| Facility | $44.79 | $122.52 | $8,280.00 | |
Medica
| Professional | $31.52 | $67.17 | $829.18 | |
United
| Facility | $1,967.00 | $4,960.00 | $11,732.00 | |
United
| Professional | $30.98 | $67.17 | $123.82 |