| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $6,456.54 | $14,125.38 | |
Aetna
| Professional | $3,019.95 | $3,630.78 | $3,630.78 | |
Medica
| Facility | $1,949.84 | $6,606.93 | $11,220.18 | |
United
| Facility | $1,995.26 | $4,570.88 | $8,912.51 |