| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,281.74 | $2,863.64 | $16,467.00 | |
Medcost
| Facility | $1,029.09 | $1,409.91 | $2,312.13 | |
Medcost
| Facility | 80 | $245.20 | $284.49 | $388.64 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |