| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $633.04 | $847.53 | $1,020.32 | |
Medica
| Facility | $30.34 | $718.32 | $831.74 | |
Medica
| Professional | $793.39 | $1,021.49 | $2,142.16 | |
United
| Professional | $694.22 | $971.91 | $1,346.52 |