| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $363.26 | $433.38 | $519.46 | |
United
| Facility | $324.00 | $960.00 | $960.00 | |
United
| Professional | $382.71 | $501.68 | $1,034.76 |