| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $945.00 | $3,682.00 | $12,040.00 | |
Aetna
| Professional | $975.00 | $4,028.00 | $13,004.00 | |
United
| Facility | $385.00 | $2,064.00 | $8,759.00 | |
Wellpoint
| Professional | $369.40 | $369.40 | $498.69 |