| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $3,547.88 | $3,561.59 | $4,146.14 | |
United
| Facility | $324.00 | $960.00 | $960.00 | |
United
| Professional | $2,905.53 | $3,610.29 | $8,170.65 |