| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,327.35 | $14,301.40 | $16,467.00 | |
Medcost
| Facility | $5,378.25 | $6,327.35 | $10,689.20 | |
Medcost
| Facility | 80 | $1,177.03 | $1,231.00 | $1,940.91 |
United
| Facility | $454.00 | $6,074.00 | $8,818.00 |