| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,048.00 | $3,779.00 | $12,600.00 | |
Aetna
| Professional | $178.86 | $178.86 | $178.86 | |
Medica
| Facility | $139.00 | $525.53 | $1,582.00 | |
Medica
| Professional | $178.27 | $246.85 | $407.30 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 | |
United
| Professional | $191.80 | $246.85 | $326.25 |