| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,818.38 | $5,754.40 | $12,302.69 | |
Aetna
| Professional | $2,818.38 | $16,982.44 | $18,197.01 | |
Medica
| Facility | $2,041.74 | $7,943.28 | $19,054.61 | |
United
| Facility | $2,951.21 | $10,715.19 | $16,218.10 |