| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,500.00 | $3,600.00 | $12,154.00 | |
Aetna
| Professional | $68.43 | $77.36 | $99.03 | |
Medica
| Facility | $66.31 | $77.36 | $217.38 | |
Medica
| Professional | $82.69 | $101.07 | $515.54 | |
United
| Facility | $88.29 | $157.82 | $161.77 | |
United
| Professional | $82.69 | $89.61 | $163.34 |