| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $4,456.00 | |
Aetna
| Professional | $575.51 | $575.51 | $575.51 | |
United
| Facility | $1,981.00 | $1,981.00 | $1,981.00 | |
United
| Professional | $598.76 | $808.43 | $873.32 |