| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,365.16 | $4,365.16 | $4,897.79 | |
Aetna
| Professional | $34,673.69 | $34,673.69 | $34,673.69 | |
Medica
| Facility | $6,606.93 | $52,480.75 | $95,499.26 | |
United
| Facility | $6,606.93 | $6,606.93 | $6,606.93 |