| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $1,000.00 | $1,698.24 | $3,019.95 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
United
| Professional | $1,905.46 | $2,290.87 | $3,311.31 |