| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.45 | $7,799.00 | $16,639.00 | |
Medcost
| Facility | $852.56 | $1,202.00 | $1,936.17 | |
Medcost
| Facility | AS | $144.19 | $168.28 | $227.13 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |