| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,655.00 | $13,151.00 | |
Aetna
| Professional | $138.26 | $159.32 | $159.32 | |
Medica
| Facility | $142.41 | $312.70 | $8,280.00 | |
Medica
| Professional | $165.35 | $216.45 | $1,199.44 | |
United
| Facility | $1,967.00 | $4,960.00 | $11,732.00 | |
United
| Professional | $162.94 | $201.75 | $320.82 |