| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.75 | $199.16 | $517.79 | |
Aetna
| Professional | $107.15 | $120.70 | $156.41 | |
Medica
| Facility | $91.03 | $128.55 | $339.17 | |
Medica
| Professional | $964.83 | $1,135.08 | $3,657.26 | |
United
| Professional | $945.91 | $1,097.26 | $1,708.04 |