| 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 | $3,922.00 | $9,292.00 | $46,408.00 | |
United
| Facility | $4,096.00 | $8,916.00 | $31,505.00 |