| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,630.27 | $6,606.93 | |
Aetna
| Professional | $12.88 | $58.88 | $208.93 | |
Medica
| Facility | $52.48 | $3,981.07 | $10,232.93 | |
Medica
| Professional | $30.20 | $61.66 | $831.76 | |
United
| Facility | $1,621.81 | $5,754.40 | $10,471.29 | |
United
| Professional | $26.92 | $50.12 | $93.33 |