| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,500.69 | $3,227.81 | $16,467.00 | |
Medcost
| Facility | $1,203.03 | $1,725.79 | $2,590.83 | |
Medcost
| Facility | 80 | $284.60 | $361.42 | $500.80 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |