| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $1,148.15 | $3,890.45 | |
Aetna
| Professional | $457.09 | $562.34 | $724.44 | |
Medica
| Facility | $501.19 | $741.31 | $1,348.96 | |
Medica
| Professional | $309.03 | $309.03 | $3,715.35 | |
United
| Facility | $660.69 | $741.31 | $891.25 | |
United
| Professional | $309.03 | $309.03 | $446.68 |