| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,630.27 | $6,606.93 | |
Aetna
| Professional | $83.18 | $158.49 | $204.17 | |
Medica
| Facility | $138.04 | $3,981.07 | $10,232.93 | |
Medica
| Professional | $131.83 | $177.83 | $1,202.26 | |
United
| Facility | $1,621.81 | $5,754.40 | $10,471.29 | |
United
| Professional | $131.83 | $165.96 | $245.47 |