| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,684.00 | $18,600.00 | |
Aetna
| Professional | $311.07 | $366.68 | $499.98 | |
Medica
| Facility | $350.00 | $400.83 | $4,047.84 | |
Medica
| Professional | $410.37 | $548.13 | $3,180.32 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 | |
United
| Professional | $391.50 | $518.86 | $768.85 |