| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.00 | $488.00 | $488.00 | |
Aetna
| Professional | $450.27 | $488.00 | $496.02 | |
Medica
| Facility | $477.41 | $751.22 | $2,204.14 | |
Medica
| Professional | $566.74 | $927.40 | $1,602.02 | |
United
| Professional | $566.74 | $927.40 | $1,602.02 |