| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $2,747.00 | $4,456.00 | |
Aetna
| Professional | $664.57 | $664.57 | $664.57 | |
United
| Facility | $1,078.00 | $1,078.00 | $1,078.00 | |
United
| Professional | $674.13 | $907.61 | $982.96 |