| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,218.00 | $3,576.15 | $7,119.04 | |
Aetna
| Professional | $2,546.00 | $2,546.00 | $2,546.00 | |
Medica
| Facility | $1,026.00 | $1,623.00 | $3,560.25 | |
United
| Facility | $1,026.00 | $1,623.00 | $2,126.00 |