| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,646.95 | $3,684.24 | $16,467.00 | |
Medcost
| Facility | $1,363.81 | $1,811.65 | $3,128.83 | |
Medcost
| Facility | AS | $224.03 | $252.98 | $406.56 |
United
| Facility | $659.00 | $6,107.00 | $8,818.00 |