| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,361.07 | $8,632.68 | $16,467.00 | |
Medcost
| Facility | $3,321.40 | $4,773.57 | $7,152.07 | |
Medcost
| Facility | AS | $578.90 | $668.30 | $820.10 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |