| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $562.34 | $10,000.00 | |
Aetna
| Professional | $398.11 | $562.34 | $660.69 | |
Medica
| Facility | $398.11 | $676.08 | $1,288.25 | |
Medica
| Professional | $602.56 | $1,047.13 | $1,318.26 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 | |
United
| Professional | $602.56 | $1,023.29 | $1,412.54 |