| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,684.00 | $18,600.00 | |
Aetna
| Professional | $13.74 | $14.06 | $28.00 | |
Medica
| Facility | $7.74 | $13.74 | $18.54 | |
Medica
| Professional | $5.30 | $5.89 | $17.37 | |
United
| Professional | $5.30 | $5.89 | $7.64 |