| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.78 | $186.78 | $8,500.00 | |
Aetna
| Professional | $172.97 | $192.80 | $266.58 | |
Medica
| Facility | $186.78 | $376.03 | $515.61 | |
Medica
| Professional | $286.45 | $575.90 | $689.97 | |
United
| Professional | $281.14 | $514.21 | $682.60 |