| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $2,747.00 | $5,484.00 | |
Aetna
| Professional | $1,422.10 | $1,422.10 | $1,422.10 | |
United
| Facility | $3,028.00 | $3,028.00 | $3,028.00 | |
United
| Professional | $1,479.24 | $1,932.44 | $1,997.78 |