| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,835.00 | $6,835.00 | $6,907.00 | |
Aetna
| Professional | $1,441.31 | $1,833.22 | $1,833.22 | |
United
| Facility | $960.00 | $960.00 | $960.00 | |
United
| Professional | $1,996.53 | $2,762.42 | $5,218.13 |