| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,576.00 | $7,500.00 | |
Aetna
| Professional | $60.82 | $60.82 | $125.42 | |
Medica
| Facility | $60.82 | $398.00 | $1,582.00 | |
Medica
| Professional | $24.13 | $30.53 | $45.64 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 | |
United
| Professional | $23.26 | $30.52 | $37.79 |