| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,511.89 | $3,090.30 | $8,511.38 | |
Aetna
| Professional | $177.83 | $831.76 | $4,168.69 | |
Medica
| Facility | $0.56 | $1,995.26 | $6,456.54 | |
United
| Facility | $2,398.83 | $3,019.95 | $3,388.44 |