| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.35 | $28.35 | $28.35 | |
Aetna
| Professional | $28.35 | $28.35 | $36.53 | |
Medica
| Facility | $25.09 | $34.02 | $4,073.00 | |
Medica
| Professional | $26.06 | $34.49 | $63.99 | |
United
| Facility | $350.00 | $1,760.00 | $7,223.00 | |
United
| Professional | $25.12 | $31.40 | $49.71 |