| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,249.00 | $4,945.00 | $12,600.00 | |
Aetna
| Professional | $150.27 | $169.79 | $178.86 | |
Medica
| Facility | $165.13 | $376.00 | $1,661.00 | |
Medica
| Professional | $246.85 | $480.91 | $934.97 | |
United
| Facility | $191.00 | $526.00 | $1,769.00 | |
United
| Professional | $246.85 | $472.90 | $586.02 |