| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $7,265.00 | |
Aetna
| Professional | $292.33 | $355.32 | $355.32 | |
United
| Facility | $1,200.00 | $1,200.00 | $1,200.00 | |
United
| Professional | $367.38 | $423.16 | $846.32 |