| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,576.00 | $7,500.00 | |
Aetna
| Professional | $320.27 | $377.71 | $2,400.00 | |
Medica
| Facility | $320.27 | $589.32 | $1,538.00 | |
Medica
| Professional | $343.88 | $436.24 | $792.48 | |
United
| Facility | $139.00 | $610.00 | $1,883.00 | |
United
| Professional | $331.45 | $414.31 | $596.69 |