| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $500.00 | $12,061.50 | $13,375.52 | |
Aetna
| Professional | $6,024.61 | $7,961.62 | $7,961.62 | |
Medica
| Facility | $7,961.62 | $7,961.62 | $9,155.86 | |
Medica
| Professional | $3,775.00 | $3,775.00 | $5,256.46 |