| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,507.00 | $5,691.00 | $12,154.00 | |
Aetna
| Professional | $2,507.00 | $4,540.00 | $8,000.00 | |
Medica
| Facility | $1,708.00 | $3,700.00 | $13,753.37 | |
United
| Facility | $2,155.00 | $3,379.00 | $5,740.00 |