| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,995.26 | $1,995.26 | $8,511.38 | |
Aetna
| Professional | $1,380.38 | $1,380.38 | $1,412.54 | |
Medica
| Facility | $467.74 | $467.74 | $467.74 | |
United
| Facility | $478.63 | $4,677.35 | $5,128.61 |