| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $758.58 | $7,943.28 | $16,595.87 | |
Medcost
| Professional | $1,230.27 | $1,230.27 | $1,230.27 | |
Medcost
| Facility | $645.65 | $794.33 | $1,096.48 | |
United
| Facility | $2,454.71 | $6,760.83 | $9,120.11 |