| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,392.00 | $5,511.00 | $16,900.00 | |
Aetna
| Professional | $908.40 | $908.40 | $908.40 | |
Medica
| Facility | $908.40 | $1,882.00 | $8,198.00 | |
Medica
| Professional | $867.05 | $1,368.68 | $6,468.32 | |
United
| Facility | $1,091.00 | $4,054.00 | $7,077.94 | |
United
| Professional | $829.78 | $1,462.57 | $1,835.88 |