| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $5,623.41 | $10,471.29 | |
Aetna
| Professional | $1,202.26 | $1,202.26 | $1,513.56 | |
Medica
| Facility | $186.21 | $1,202.26 | $1,778.28 | |
United
| Facility | $190.55 | $537.03 | $1,905.46 |