| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,417.26 | $7,799.00 | $21,886.00 | |
Medcost
| Facility | $3,356.55 | $4,426.79 | $7,695.06 | |
Medcost
| Facility | AS | $508.57 | $619.75 | $841.09 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |