| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,576.00 | $7,500.00 | |
Aetna
| Professional | $20.00 | $141.18 | $166.49 | |
Medica
| Facility | $141.18 | $461.00 | $1,530.86 | |
Medica
| Professional | $152.16 | $190.71 | $350.71 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 | |
United
| Professional | $146.66 | $192.23 | $269.24 |