| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,140.00 | $3,140.00 | $6,907.00 | |
Aetna
| Professional | $57.64 | $76.20 | $76.20 | |
United
| Facility | $143.00 | $143.00 | $500.00 | |
United
| Professional | $78.90 | $108.15 | $212.34 |