| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,762.47 | $6,190.46 | $16,467.00 | |
Medcost
| Facility | $2,211.00 | $2,826.56 | $5,318.95 | |
Medcost
| Facility | AS | $372.68 | $382.36 | $588.09 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |