| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,400.00 | $5,192.00 | $12,600.00 | |
Aetna
| Professional | $2,400.00 | $3,600.00 | $7,655.00 | |
Medica
| Facility | $1,838.00 | $4,682.00 | $11,209.00 | |
United
| Facility | $1,967.00 | $4,916.00 | $11,618.00 |