| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $241.34 | $241.34 | $8,500.00 | |
Aetna
| Professional | $218.61 | $333.69 | $349.45 | |
Medica
| Facility | $241.34 | $481.15 | $659.68 | |
Medica
| Professional | $398.10 | $651.44 | $935.10 | |
United
| Professional | $381.11 | $650.91 | $838.44 |