| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,181.00 | $1,821.00 | $9,477.00 | |
Aetna
| Professional | $1,075.03 | $1,195.74 | $1,195.74 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 | |
United
| Professional | $1,008.83 | $1,602.90 | $2,167.50 |