| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $2,454.71 | $6,606.93 | |
Aetna
| Professional | $218.78 | $263.03 | $331.13 | |
Medica
| Facility | $177.83 | $575.44 | $1,584.89 | |
Medica
| Professional | $239.88 | $323.59 | $2,041.74 | |
United
| Facility | $138.04 | $630.96 | $1,659.59 | |
United
| Professional | $229.09 | $316.23 | $436.52 |