| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,412.10 | $4,805.14 | $16,467.00 | |
Medcost
| Facility | $1,873.85 | $2,841.18 | $4,183.31 | |
Medcost
| Facility | 80 | $482.15 | $626.40 | $684.80 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |