| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,655.00 | $13,151.00 | |
Aetna
| Professional | $364.39 | $422.39 | $437.67 | |
Medica
| Facility | $364.39 | $439.22 | $3,215.44 | |
Medica
| Professional | $461.97 | $599.04 | $3,180.32 | |
United
| Facility | $783.00 | $1,743.00 | $5,562.00 | |
United
| Professional | $446.35 | $535.62 | $849.55 |