| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $3,684.00 | $18,600.00 | |
Aetna
| Professional | $287.56 | $287.56 | $798.15 | |
Medica
| Facility | $287.56 | $816.00 | $2,421.00 | |
United
| Facility | $352.00 | $1,279.00 | $2,637.00 |