| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,736.00 | $4,736.00 | $6,907.00 | |
Aetna
| Professional | $543.02 | $622.95 | $622.95 | |
United
| Facility | $2,200.00 | $2,200.00 | $2,200.00 | |
United
| Professional | $520.98 | $675.79 | $1,408.59 |