| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,201.78 | $3,684.00 | $18,600.00 | |
Aetna
| Professional | $1,201.78 | $1,201.78 | $1,201.78 | |
Medica
| Facility | $139.00 | $1,098.00 | $1,676.40 | |
United
| Facility | $161.00 | $727.00 | $1,615.00 |