| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,346.15 | $5,330.39 | $16,467.00 | |
Medcost
| Facility | $1,882.56 | $2,607.35 | $4,268.12 | |
Medcost
| Facility | 80 | $454.00 | $521.47 | $723.41 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |