| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $247.46 | $878.57 | $940.67 | |
United
| Facility | $960.00 | $960.00 | $960.00 | |
United
| Professional | $577.05 | $769.41 | $1,471.77 |