| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $6,966.00 | $8,499.00 | |
Aetna
| Professional | $757.24 | $757.24 | $757.24 | |
United
| Facility | $7,425.00 | $7,425.00 | $7,425.00 | |
United
| Professional | $651.54 | $1,213.98 | $1,325.54 |