| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,131.00 | $7,655.00 | $13,151.00 | |
Aetna
| Professional | $1,201.78 | $1,201.78 | $1,466.49 | |
Medica
| Facility | $185.00 | $1,201.78 | $1,792.94 | |
United
| Facility | $376.00 | $658.00 | $1,915.00 |