| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.15 | $201.15 | $301.73 | |
Aetna
| Professional | $175.10 | $207.70 | $288.95 | |
Medica
| Facility | $201.15 | $229.31 | $2,974.00 | |
Medica
| Professional | $224.24 | $307.02 | $1,910.32 | |
United
| Facility | $575.00 | $1,928.00 | $4,012.00 | |
United
| Professional | $211.05 | $290.19 | $421.05 |