| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,073.80 | $4,073.80 | $7,244.36 | |
Aetna
| Professional | $1,258.93 | $1,445.44 | $1,819.70 | |
United
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
United
| Professional | $1,479.11 | $1,819.70 | $2,818.38 |