| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,655.00 | $13,151.00 | |
Aetna
| Professional | $271.51 | $312.83 | $312.83 | |
Medica
| Facility | $271.51 | $466.71 | $4,857.00 | |
Medica
| Professional | $349.35 | $457.62 | $2,357.76 | |
United
| Facility | $783.00 | $1,743.00 | $8,198.00 | |
United
| Professional | $344.87 | $424.46 | $638.87 |