| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,800.00 | $6,071.00 | $13,151.00 | |
Aetna
| Professional | $2,800.00 | $5,467.00 | $16,942.00 | |
Medica
| Facility | $2,029.00 | $8,000.00 | $19,082.00 | |
United
| Facility | $2,729.00 | $8,000.00 | $17,483.00 |