| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.73 | $301.73 | $8,500.00 | |
Aetna
| Professional | $301.73 | $402.67 | $428.95 | |
Medica
| Facility | $301.73 | $528.46 | $724.43 | |
Medica
| Professional | $451.81 | $807.44 | $1,778.72 | |
United
| Facility | $681.00 | $681.00 | $681.00 | |
United
| Professional | $394.18 | $774.45 | $1,159.77 |