| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.33 | $158.49 | $8,511.38 | |
Aetna
| Professional | $83.18 | $151.36 | $173.78 | |
Medica
| Facility | $102.33 | $194.98 | $309.03 | |
Medica
| Professional | $154.88 | $269.15 | $316.23 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 | |
United
| Professional | $162.18 | $208.93 | $346.74 |