| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,244.36 | $7,244.36 | $7,244.36 | |
Aetna
| Professional | $173.78 | $524.81 | $616.60 | |
United
| Facility | $151.36 | $151.36 | $151.36 | |
United
| Professional | $501.19 | $1,000.00 | $2,238.72 |