| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,050.59 | $3,705.65 | $16,467.00 | |
Medcost
| Facility | $2,477.37 | $3,691.67 | $6,038.88 | |
Medcost
| Facility | AS | $355.74 | $488.04 | $694.60 |
United
| Facility | $2,284.00 | $6,074.00 | $8,973.00 |