| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,180.70 | $2,648.86 | $16,467.00 | |
Medcost
| Facility | $970.53 | $1,298.77 | $2,187.06 | |
Medcost
| Facility | AS | $166.74 | $180.74 | $251.64 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |