| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,302.44 | $5,172.33 | $16,467.00 | |
Medcost
| Facility | $1,922.82 | $2,532.67 | $4,425.97 | |
Medcost
| Facility | AS | $313.17 | $337.68 | $499.13 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |