| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,905.46 | $5,495.41 | $8,317.64 | |
Aetna
| Professional | $1,819.70 | $3,467.37 | $3,630.78 | |
Medica
| Facility | $2,137.96 | $6,456.54 | $13,803.84 | |
United
| Facility | $1,258.93 | $6,918.31 | $11,748.98 |