| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.67 | $242.67 | $10,000.00 | |
Aetna
| Professional | $242.67 | $242.67 | $353.02 | |
Medica
| Facility | $242.67 | $412.54 | $728.01 | |
Medica
| Professional | $379.30 | $677.44 | $932.83 | |
United
| Facility | $1,978.00 | $1,978.00 | $1,978.00 | |
United
| Professional | $418.19 | $721.54 | $932.83 |