| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,365.16 | $4,365.16 | $6,760.83 | |
Aetna
| Professional | $16,218.10 | $16,218.10 | $16,218.10 | |
Medica
| Facility | $6,606.93 | $24,547.09 | $44,668.36 | |
United
| Facility | $6,606.93 | $6,606.93 | $6,606.93 |