| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,061.67 | $1,782.00 | $9,034.00 | |
Aetna
| Professional | $1,061.67 | $1,061.67 | $2,007.27 | |
United
| Facility | $2,104.00 | $4,555.00 | $8,929.00 | |
United
| Professional | $1,667.23 | $2,308.15 | $3,701.11 |