| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,213.78 | $3,109.00 | $9,477.00 | |
Aetna
| Professional | $1,213.78 | $1,213.78 | $2,245.44 | |
United
| Facility | $375.00 | $1,056.00 | $2,558.00 | |
United
| Professional | $1,849.27 | $2,390.94 | $3,703.63 |