| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $2,630.27 | $6,606.93 | |
Aetna
| Professional | $1,202.26 | $1,202.26 | $1,479.11 | |
Medica
| Facility | $138.04 | $933.25 | $1,737.80 | |
United
| Facility | $138.04 | $630.96 | $1,659.59 |