| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,051.00 | $3,869.00 | $13,682.00 | |
Aetna
| Professional | $1,272.00 | $6,082.00 | $16,097.00 | |
United
| Facility | $432.00 | $2,064.00 | $8,759.00 | |
Wellpoint
| Professional | $1,446.77 | $1,446.77 | $1,953.14 |