| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,019.95 | $6,456.54 | $10,471.29 | |
Aetna
| Professional | $3,019.95 | $11,220.18 | $11,220.18 | |
Medica
| Facility | $954.99 | $2,884.03 | $5,623.41 | |
United
| Facility | $1,548.82 | $3,630.78 | $5,623.41 |