| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,613.77 | $3,644.17 | $16,467.00 | |
Medcost
| Facility | $1,293.52 | $1,782.06 | $2,924.47 | |
Medcost
| Facility | 80 | $322.80 | $361.28 | $494.57 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |