| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,451.31 | $6,803.44 | $16,467.00 | |
Medcost
| Facility | $2,467.08 | $3,355.23 | $5,945.59 | |
Medcost
| Facility | AS | $340.06 | $460.83 | $708.10 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |