| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $2,884.03 | $2,884.03 | |
Aetna
| Professional | $223.87 | $616.60 | $676.08 | |
HMSA
| Professional | $489.78 | $549.54 | $602.56 | |
United
| Facility | $2,454.71 | $2,454.71 | $2,454.71 | |
United
| Professional | $416.87 | $870.96 | $1,047.13 |