| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $3,612.00 | $7,500.00 | |
Aetna
| Professional | $206.97 | $255.58 | $329.45 | |
Medica
| Facility | $206.08 | $258.58 | $2,969.00 | |
Medica
| Professional | $266.58 | $367.52 | $2,229.60 | |
United
| Facility | $498.00 | $1,928.00 | $4,012.00 | |
United
| Professional | $266.58 | $344.98 | $499.03 |