| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,548.13 | $3,548.13 | $4,365.16 | |
Aetna
| Professional | $741.31 | $1,548.82 | $1,659.59 | |
Medica
| Facility | $4,466.84 | $4,466.84 | $4,466.84 | |
United
| Facility | $4,466.84 | $4,466.84 | $4,466.84 |