| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,684.00 | $18,600.00 | |
Aetna
| Professional | $211.77 | $211.77 | $211.77 | |
Medica
| Facility | $211.77 | $580.00 | $5,833.89 | |
Medica
| Professional | $238.31 | $330.09 | $1,846.48 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 | |
United
| Professional | $227.35 | $315.01 | $451.93 |