| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $263.03 | $8,511.38 | |
Aetna
| Professional | $186.21 | $190.55 | $275.42 | |
Medica
| Facility | $186.21 | $380.19 | $562.34 | |
Medica
| Professional | $288.40 | $512.86 | $691.83 | |
United
| Facility | $1,819.70 | $2,041.74 | $8,511.38 | |
United
| Professional | $288.40 | $478.63 | $676.08 |