| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,039.08 | $2,316.41 | $16,467.00 | |
Medcost
| Facility | $867.47 | $1,143.00 | $1,967.44 | |
Medcost
| Facility | AS | $141.53 | $150.36 | $254.10 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |