| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,249.00 | $4,945.00 | $12,600.00 | |
Aetna
| Professional | $235.31 | $265.77 | $293.08 | |
Medica
| Facility | $235.31 | $382.00 | $1,661.00 | |
Medica
| Professional | $416.79 | $500.95 | $934.97 | |
United
| Facility | $215.87 | $611.00 | $1,915.00 | |
United
| Professional | $414.79 | $500.95 | $649.71 |