| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,758.00 | $4,456.00 | $5,299.00 | |
Aetna
| Professional | $204.16 | $204.16 | $204.16 | |
United
| Facility | $2,155.00 | $2,155.00 | $2,155.00 | |
United
| Professional | $259.89 | $346.43 | $375.76 |