| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $112.61 | $142.12 | $281.22 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $248.54 | $331.39 | $638.71 |