| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,316.00 | $6,316.00 | $6,907.00 | |
Aetna
| Professional | $866.76 | $1,091.70 | $1,091.70 | |
United
| Facility | $2,783.00 | $2,783.00 | $2,783.00 | |
United
| Professional | $1,181.61 | $1,575.49 | $3,011.24 |