| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $2,747.00 | $2,747.00 | |
Aetna
| Professional | $1,760.74 | $1,760.74 | $2,111.71 | |
United
| Facility | $1,981.00 | $1,981.00 | $1,981.00 | |
United
| Professional | $2,335.29 | $3,082.16 | $3,328.83 |