| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,181.00 | $2,477.00 | $9,477.00 | |
Aetna
| Professional | $611.75 | $6,534.18 | $6,534.18 | |
United
| Facility | $2,104.00 | $4,334.00 | $8,676.00 | |
United
| Professional | $920.04 | $1,498.99 | $2,344.36 |