| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,201.78 | $4,908.00 | $12,174.00 | |
Aetna
| Professional | $1,201.78 | $1,201.78 | $1,507.37 | |
Medica
| Facility | $247.00 | $1,201.78 | $2,403.56 | |
United
| Facility | $247.00 | $719.00 | $1,795.00 |