| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,041.74 | $3,890.45 | $7,943.28 | |
Aetna
| Professional | $165.96 | $194.98 | $436.52 | |
Medica
| Facility | $181.97 | $229.09 | $398.11 | |
Medica
| Professional | $1,348.96 | $1,348.96 | $1,348.96 |