| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,747.00 | $8,210.00 | $10,007.00 | |
Aetna
| Professional | $1,013.48 | $1,013.48 | $1,013.48 | |
United
| Facility | $3,340.00 | $3,340.00 | $3,340.00 | |
United
| Professional | $1,337.23 | $1,788.33 | $1,864.78 |