| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,818.38 | $6,606.93 | |
Aetna
| Professional | $3,162.28 | $5,128.61 | $6,606.93 | |
Medica
| Facility | $1,949.84 | $6,918.31 | $15,135.61 | |
United
| Facility | $1,949.84 | $7,762.47 | $15,135.61 |