| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,083.00 | $3,109.00 | $9,477.00 | |
Aetna
| Professional | $554.78 | $554.78 | $1,026.10 | |
United
| Facility | $3,741.00 | $12,500.00 | $25,144.00 | |
United
| Professional | $779.43 | $1,124.56 | $1,692.54 |