| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $282.83 | $282.83 | $8,500.00 | |
Aetna
| Professional | $277.45 | $277.45 | $282.83 | |
Medica
| Facility | $282.83 | $334.79 | $480.81 | |
Medica
| Professional | $426.94 | $667.86 | $997.20 | |
United
| Facility | $271.00 | $1,146.00 | $1,978.00 | |
United
| Professional | $267.83 | $516.03 | $903.81 |