| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,184.00 | $3,232.00 | $8,000.00 | |
Aetna
| Professional | $637.00 | $1,705.00 | $5,389.00 | |
Medica
| Facility | $100.00 | $815.00 | $1,351.00 | |
United
| Facility | $247.00 | $719.00 | $1,795.00 |