| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $268.33 | $304.64 | $592.99 | |
United
| Facility | $324.00 | $960.00 | $960.00 | |
United
| Professional | $456.64 | $577.59 | $1,181.21 |