| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $5,484.00 | $6,718.00 | |
Aetna
| Professional | $470.20 | $470.20 | $470.20 | |
United
| Facility | $7,425.00 | $7,425.00 | $7,425.00 | |
United
| Professional | $601.42 | $801.89 | $868.81 |