| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.84 | $224.84 | $10,000.00 | |
Aetna
| Professional | $224.84 | $224.84 | $310.88 | |
Medica
| Facility | $224.84 | $382.23 | $674.52 | |
Medica
| Professional | $351.51 | $627.67 | $864.23 | |
United
| Professional | $387.56 | $668.54 | $864.23 |