| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $612.14 | $673.35 | $980.77 | |
Aetna
| Professional | $9.55 | $73.45 | $612.14 | |
Medica
| Facility | $102.31 | $612.14 | $995.80 | |
Medica
| Professional | $154.86 | $1,004.73 | $3,657.26 | |
United
| Professional | $803.78 | $1,004.73 | $1,476.05 |