| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $803.00 | $2,825.00 | $7,542.00 | |
Aetna
| Professional | $975.00 | $3,944.00 | $12,040.00 | |
United
| Facility | $2,605.00 | $7,333.00 | $16,000.00 | |
Wellpoint
| Professional | $207.02 | $207.02 | $279.48 |