| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $6,309.57 | $10,471.29 | |
Aetna
| Professional | $3,630.78 | $3,630.78 | $3,630.78 | |
Medica
| Facility | $776.25 | $1,737.80 | $7,943.28 | |
United
| Facility | $851.14 | $1,445.44 | $5,623.41 |