| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,521.91 | $9,062.00 | $18,429.00 | |
Medcost
| Facility | $1,270.16 | $1,734.00 | $3,017.95 | |
Medcost
| Facility | AS | $210.56 | $242.76 | $422.51 |
United
| Facility | $6,444.00 | $16,269.00 | $24,729.00 |