| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.00 | $4,470.00 | $10,439.00 | |
Aetna
| Professional | $1,800.00 | $3,281.00 | $7,655.00 | |
Medica
| Facility | $55.00 | $416.00 | $1,661.00 | |
United
| Facility | $191.00 | $550.00 | $1,769.00 |