| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $295.94 | $295.94 | $506.01 | |
Medica
| Facility | $506.01 | $521.19 | $2,401.40 | |
Medica
| Professional | $367.16 | $371.16 | $375.52 | |
United
| Professional | $367.16 | $371.16 | $375.52 |