| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,316.00 | $6,316.00 | $6,907.00 | |
Aetna
| Professional | $783.95 | $895.53 | $895.53 | |
United
| Facility | $2,783.00 | $2,783.00 | $2,783.00 | |
United
| Professional | $746.34 | $988.53 | $2,080.69 |