| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,684.00 | $18,600.00 | |
Aetna
| Professional | $270.49 | $416.54 | $564.04 | |
Medica
| Facility | $354.06 | $437.37 | $2,951.70 | |
Medica
| Professional | $350.65 | $578.48 | $2,197.25 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 | |
United
| Professional | $430.77 | $592.30 | $863.15 |