| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $489.78 | $851.14 | |
Aetna
| Professional | $346.74 | $467.74 | $575.44 | |
Medica
| Facility | $346.74 | $588.84 | $2,187.76 | |
Medica
| Professional | $457.09 | $660.69 | $1,023.29 | |
United
| Professional | $457.09 | $616.60 | $1,023.29 |