| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,176.62 | $8,261.23 | $16,467.00 | |
Medcost
| Facility | $2,451.00 | $4,051.07 | $6,838.82 | |
Medcost
| Facility | AS | $343.14 | $445.57 | $784.82 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |