| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,436.11 | $3,247.44 | $16,467.00 | |
Medcost
| Facility | $1,227.78 | $1,566.98 | $2,670.53 | |
Medcost
| Facility | AS | $219.38 | $219.38 | $308.51 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |