| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.00 | $3,683.00 | $7,500.00 | |
Aetna
| Professional | $39.96 | $63.35 | $81.41 | |
Medica
| Facility | $56.54 | $76.00 | $1,172.00 | |
Medica
| Professional | $67.98 | $88.02 | $148.93 | |
United
| Facility | $139.00 | $610.00 | $1,883.00 | |
United
| Professional | $65.54 | $86.02 | $120.02 |