| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,838.58 | $5,602.02 | $16,467.00 | |
Medcost
| Facility | $1,923.08 | $2,711.81 | $4,897.74 | |
Medcost
| Facility | AS | $282.24 | $326.92 | $554.26 |
United
| Facility | $2,284.00 | $6,074.00 | $8,973.00 |