| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.81 | $281.84 | $416.87 | |
Aetna
| Professional | $32.36 | $41.69 | $630.96 | |
Medica
| Facility | $39.81 | $39.81 | $316.23 | |
Medica
| Professional | $46.77 | $52.48 | $1,584.89 | |
United
| Professional | $44.67 | $50.12 | $64.57 |