| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,890.50 | $4,218.03 | $16,467.00 | |
Medcost
| Facility | $1,551.63 | $2,174.08 | $3,491.82 | |
Medcost
| Facility | AS | $258.86 | $307.02 | $400.71 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |