| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,000.00 | $2,000.00 | $8,500.00 | |
Aetna
| Professional | $346.39 | $346.39 | $346.39 | |
Medica
| Facility | $465.40 | $465.40 | $465.40 | |
United
| Facility | $1,978.00 | $1,978.00 | $1,978.00 |