| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $8,431.00 | $10,303.00 | |
Aetna
| Professional | $373.16 | $373.16 | $373.16 | |
United
| Facility | $7,425.00 | $7,425.00 | $7,425.00 | |
United
| Professional | $465.54 | $653.21 | $705.64 |