| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $8,431.00 | $10,303.00 | |
Aetna
| Professional | $1,434.42 | $1,434.42 | $1,434.42 | |
United
| Facility | $7,425.00 | $7,425.00 | $7,425.00 | |
United
| Professional | $1,841.00 | $2,298.85 | $3,212.23 |