| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,500.00 | $8,101.00 | $14,450.00 | |
Aetna
| Professional | $683.06 | $786.92 | $786.92 | |
Medica
| Facility | $703.55 | $1,160.00 | $6,394.06 | |
Medica
| Professional | $1,037.75 | $1,757.68 | $6,468.32 | |
United
| Facility | $1,779.00 | $3,647.00 | $6,988.00 | |
United
| Professional | $1,017.40 | $1,505.84 | $2,144.27 |