| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,576.00 | $7,500.00 | |
Aetna
| Professional | $220.14 | $220.14 | $220.14 | |
Medica
| Facility | $196.47 | $347.00 | $1,538.00 | |
Medica
| Professional | $248.05 | $356.39 | $2,041.28 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 | |
United
| Professional | $236.64 | $314.33 | $470.43 |