| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $344.41 | $344.41 | $8,500.00 | |
Aetna
| Professional | $257.80 | $280.27 | $376.41 | |
Medica
| Facility | $292.75 | $399.13 | $637.16 | |
Medica
| Professional | $515.77 | $938.70 | $2,030.48 | |
United
| Facility | $681.00 | $681.00 | $681.00 | |
United
| Professional | $335.32 | $725.83 | $1,323.84 |