| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $5,484.00 | $6,718.00 | |
Aetna
| Professional | $307.27 | $307.27 | $307.27 | |
United
| Facility | $3,340.00 | $3,340.00 | $3,340.00 | |
United
| Professional | $393.42 | $524.52 | $568.07 |