| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,033.21 | $2,120.81 | $2,836.04 | |
Medcost
| Facility | $884.81 | $1,146.28 | $2,011.69 | |
Medcost
| Facility | 80 | $220.80 | $228.49 | $329.31 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |