| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $8,431.00 | $10,303.00 | |
Aetna
| Professional | $563.33 | $563.33 | $675.61 | |
United
| Facility | $3,340.00 | $3,340.00 | $3,340.00 | |
United
| Professional | $737.92 | $986.12 | $1,033.38 |