| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,675.70 | $9,062.00 | $18,276.00 | |
Medcost
| Facility | $1,273.31 | $1,675.70 | $2,739.04 | |
Medcost
| Facility | 80 | $324.66 | $326.14 | $493.15 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |