| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,500.00 | $3,600.00 | $12,154.00 | |
Aetna
| Professional | $221.64 | $255.31 | $255.31 | |
Medica
| Facility | $143.00 | $267.52 | $1,437.00 | |
Medica
| Professional | $285.11 | $369.55 | $2,041.28 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 | |
United
| Professional | $285.11 | $332.06 | $554.60 |