| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,678.04 | $3,338.78 | $16,467.00 | |
Medcost
| Facility | $1,286.54 | $1,925.00 | $2,896.50 | |
Medcost
| Facility | AS | $222.46 | $288.54 | $344.93 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |