| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,528.00 | $2,747.00 | $6,084.00 | |
Aetna
| Professional | $1,400.00 | $1,400.00 | $1,400.00 | |
United
| Facility | $2,155.00 | $2,155.00 | $2,155.00 | |
United
| Professional | $644.92 | $2,101.05 | $2,269.35 |