| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,338.00 | $4,338.00 | $6,702.00 | |
Aetna
| Professional | $16,192.96 | $16,192.96 | $16,192.96 | |
Medica
| Facility | $6,571.00 | $27,366.10 | $44,368.71 | |
United
| Facility | $6,571.00 | $6,571.00 | $6,571.00 |