| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,048.48 | $2,128.87 | $16,467.00 | |
Medcost
| Facility | $799.86 | $1,172.00 | $1,832.18 | |
Medcost
| Facility | AS | $142.86 | $164.08 | $227.36 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |