| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $5,484.00 | $6,718.00 | |
Aetna
| Professional | $769.08 | $769.08 | $769.08 | |
United
| Facility | $3,340.00 | $3,340.00 | $3,340.00 | |
United
| Professional | $951.99 | $1,346.28 | $1,453.87 |