| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,897.79 | $4,897.79 | $7,244.36 | |
Aetna
| Professional | $162.18 | $186.21 | $234.42 | |
United
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Professional | $186.21 | $229.09 | $446.68 |