| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $690.00 | $1,688.00 | $3,109.00 | |
Aetna
| Professional | $2,050.46 | $2,050.46 | $3,889.69 | |
United
| Facility | $600.00 | $1,431.00 | $4,593.66 | |
United
| Professional | $3,163.50 | $4,482.37 | $6,669.16 |