| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $40.00 | $3,511.00 | |
Aetna
| Professional | $38.33 | $2,719.84 | $2,719.84 | |
Medica
| Facility | $57.20 | $67.59 | $4,577.51 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |