| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,159.00 | $7,016.00 | $13,151.00 | |
Aetna
| Professional | $3,000.00 | $6,560.00 | $10,435.00 | |
Medica
| Facility | $950.00 | $2,902.00 | $5,565.00 | |
United
| Facility | $1,436.00 | $3,096.00 | $5,565.00 |