| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,049.00 | $5,982.00 | $10,871.00 | |
Aetna
| Professional | $3,135.99 | $3,135.99 | $4,964.89 | |
Emblem Health
| Professional | $2,424.00 | $2,424.00 | $2,424.00 | |
United
| Facility | $1,627.00 | $6,590.00 | $10,536.00 |