| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,655.00 | $13,151.00 | |
Aetna
| Professional | $268.27 | $308.95 | $308.95 | |
Medica
| Facility | $268.27 | $301.87 | $414.01 | |
Medica
| Professional | $328.88 | $418.57 | $2,326.96 | |
United
| Professional | $313.93 | $379.52 | $630.13 |