| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $282.56 | $282.56 | $8,500.00 | |
Aetna
| Professional | $282.56 | $377.40 | $402.04 | |
Medica
| Facility | $282.56 | $495.30 | $678.92 | |
Medica
| Professional | $423.13 | $756.16 | $1,665.76 | |
United
| Facility | $681.00 | $681.00 | $681.00 | |
United
| Professional | $377.18 | $714.15 | $1,086.13 |