| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,456.00 | $4,856.00 | $14,100.00 | |
Aetna
| Professional | $3,683.00 | $4,638.00 | $8,077.00 | |
Medica
| Facility | $875.00 | $3,276.83 | $5,962.62 | |
United
| Facility | $875.00 | $2,900.00 | $5,543.93 |