| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $5,623.41 | $10,471.29 | |
Aetna
| Professional | $660.69 | $660.69 | $1,230.27 | |
Medica
| Facility | $660.69 | $1,148.15 | $3,311.31 | |
United
| Facility | $1,023.29 | $1,230.27 | $3,311.31 |