| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,924.00 | $5,484.00 | $6,718.00 | |
Aetna
| Professional | $254.25 | $254.25 | $254.25 | |
United
| Facility | $2,446.00 | $2,446.00 | $2,446.00 | |
United
| Professional | $242.35 | $340.57 | $435.78 |