| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,181.00 | $1,821.00 | $3,109.00 | |
Aetna
| Professional | $866.76 | $1,395.28 | $1,395.28 | |
United
| Facility | $2,209.00 | $4,576.00 | $8,929.00 | |
United
| Professional | $1,205.42 | $1,687.59 | $2,566.19 |