| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $1,202.26 | $1,513.56 | |
Aetna
| Professional | $489.78 | $562.34 | $707.95 | |
Medica
| Facility | $562.34 | $707.95 | $933.25 | |
Medica
| Professional | $295.12 | $416.87 | $3,467.37 | |
United
| Facility | $295.12 | $707.95 | $831.76 | |
United
| Professional | $295.12 | $416.87 | $616.60 |