| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,835.00 | $6,835.00 | $6,907.00 | |
Aetna
| Professional | $1,395.19 | $1,774.54 | $1,774.54 | |
United
| Facility | $960.00 | $960.00 | $960.00 | |
United
| Professional | $1,868.18 | $2,673.97 | $5,051.08 |