| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,547.00 | $3,809.00 | $8,000.00 | |
Aetna
| Professional | $637.00 | $2,076.00 | $5,389.00 | |
Medica
| Facility | $825.00 | $2,363.00 | $5,100.00 | |
United
| Facility | $1,216.00 | $2,261.00 | $3,074.00 |