| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,655.00 | $13,151.00 | |
Aetna
| Professional | $234.76 | $270.49 | $416.54 | |
Medica
| Facility | $234.76 | $316.47 | $3,162.00 | |
Medica
| Professional | $510.63 | $676.70 | $2,197.25 | |
United
| Facility | $783.00 | $1,743.00 | $5,562.00 | |
United
| Professional | $505.57 | $601.63 | $939.95 |