| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,348.96 | $3,801.89 | $8,128.31 | |
Aetna
| Professional | $50.12 | $77.62 | $95.50 | |
Medica
| Facility | $66.07 | $77.62 | $165.96 | |
Medica
| Professional | $83.18 | $102.33 | $512.86 | |
United
| Facility | $83.18 | $89.13 | $158.49 | |
United
| Professional | $83.18 | $89.13 | $141.25 |