| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,346.00 | $4,930.00 | $16,400.00 | |
Aetna
| Professional | $3,683.00 | $4,930.00 | $7,879.00 | |
Medica
| Facility | $350.00 | $1,964.41 | $6,272.82 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |