| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,655.00 | $13,151.00 | |
Aetna
| Professional | $341.51 | $395.88 | $410.21 | |
Medica
| Facility | $341.51 | $411.64 | $3,162.00 | |
Medica
| Professional | $432.83 | $561.01 | $2,980.40 | |
United
| Facility | $783.00 | $1,743.00 | $5,562.00 | |
United
| Professional | $418.19 | $506.01 | $838.30 |