| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,576.00 | $7,500.00 | |
Aetna
| Professional | $265.05 | $265.05 | $265.05 | |
Medica
| Facility | $155.00 | $526.00 | $1,582.00 | |
Medica
| Professional | $277.01 | $336.53 | $474.35 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 | |
United
| Professional | $260.70 | $325.89 | $429.60 |