| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,629.00 | $3,506.00 | $10,439.00 | |
Aetna
| Professional | $89.38 | $178.75 | $1,949.50 | |
Medica
| Facility | $55.00 | $416.00 | $1,685.00 | |
United
| Facility | $174.76 | $409.00 | $1,661.00 |