| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,456.00 | $5,514.00 | $16,900.00 | |
Aetna
| Professional | $3,683.00 | $5,551.00 | $9,257.00 | |
Medica
| Facility | $1,091.00 | $4,054.00 | $7,992.00 | |
United
| Facility | $1,243.00 | $5,068.00 | $8,509.00 |