| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,081.54 | $9,062.00 | $18,276.00 | |
Medcost
| Facility | $2,341.58 | $3,119.55 | $5,109.84 | |
Medcost
| Facility | 80 | $597.74 | $609.00 | $919.73 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |