| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,500.00 | $8,500.00 | $10,000.00 | |
Medica
| Facility | $296.45 | $375.48 | $889.35 | |
Medica
| Professional | $339.43 | $579.41 | $741.13 | |
United
| Professional | $346.98 | $617.14 | $741.13 |