| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $3,801.89 | $6,606.93 | |
Aetna
| Professional | $3,890.45 | $6,309.57 | $6,606.93 | |
Medica
| Facility | $251.19 | $1,737.80 | $6,165.95 | |
United
| Facility | $346.74 | $1,949.84 | $6,165.95 |