| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,316.00 | $6,316.00 | $6,907.00 | |
Aetna
| Professional | $830.68 | $1,046.35 | $1,046.35 | |
United
| Facility | $2,200.00 | $2,200.00 | $2,200.00 | |
United
| Professional | $1,396.64 | $1,964.63 | $3,776.17 |