| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,890.45 | $4,365.16 | $8,128.31 | |
Aetna
| Professional | $3,890.45 | $3,890.45 | $6,760.83 | |
Medica
| Facility | $5,370.32 | $6,606.93 | $11,220.18 | |
United
| Facility | $5,370.32 | $5,370.32 | $5,370.32 |