| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,400.62 | $5,390.48 | $16,467.00 | |
Medcost
| Facility | $2,000.88 | $2,656.00 | $4,608.22 | |
Medcost
| Facility | AS | $326.45 | $371.84 | $530.14 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |