| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $4,677.35 | $8,511.38 | |
Aetna
| Professional | $6,606.93 | $11,220.18 | $11,220.18 | |
Medica
| Facility | $891.25 | $3,311.31 | $6,165.95 | |
United
| Facility | $891.25 | $3,311.31 | $6,165.95 |