| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,133.00 | $5,503.00 | $10,651.00 | |
Aetna
| Professional | $2,551.00 | $5,503.00 | $9,872.00 | |
United
| Facility | $730.00 | $1,464.00 | $3,011.00 | |
United
| Professional | $11.40 | $11.40 | $11.40 |