| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $162.18 | $8,511.38 | |
Aetna
| Professional | $128.82 | $162.18 | $213.80 | |
Medica
| Facility | $128.82 | $169.82 | $389.05 | |
Medica
| Professional | $204.17 | $338.84 | $1,230.27 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 | |
United
| Professional | $186.21 | $234.42 | $389.05 |