| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $809.00 | $3,420.00 | $11,453.00 | |
Aetna
| Professional | $975.00 | $4,310.00 | $12,767.00 | |
United
| Facility | $3,340.00 | $9,553.00 | $22,000.00 | |
Wellpoint
| Professional | $870.77 | $870.77 | $1,175.54 |