| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,612.00 | $8,400.00 | |
Aetna
| Professional | $3,021.00 | $3,684.00 | $6,245.00 | |
Medica
| Facility | $1,157.00 | $4,424.00 | $8,079.85 | |
United
| Facility | $1,091.00 | $4,054.00 | $7,077.94 |