| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $58.88 | $8,511.38 | |
Aetna
| Professional | $12.88 | $57.54 | $66.07 | |
Medica
| Facility | $39.81 | $67.61 | $117.49 | |
Medica
| Professional | $28.84 | $48.98 | $123.03 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 | |
United
| Professional | $30.90 | $48.98 | $151.36 |