| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,150.00 | $3,683.00 | $8,400.00 | |
Aetna
| Professional | $3,021.00 | $3,684.00 | $5,946.00 | |
Medica
| Facility | $1,851.00 | $7,074.00 | $14,587.03 | |
United
| Facility | $2,209.00 | $8,072.00 | $15,388.63 |