| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,200.00 | $3,821.00 | $12,600.00 | |
Aetna
| Professional | $3,683.00 | $5,946.00 | $6,422.00 | |
Medica
| Facility | $350.00 | $1,928.00 | $6,272.82 | |
United
| Facility | $350.00 | $1,760.00 | $6,155.68 |