| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $657.00 | $2,410.00 | $7,513.00 | |
Aetna
| Professional | $896.00 | $2,901.00 | $12,040.00 | |
United
| Facility | $157.00 | $950.00 | $2,376.00 | |
Wellpoint
| Professional | $384.92 | $384.92 | $519.64 |