| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,706.14 | $3,955.04 | |
Aetna
| Professional | $688.00 | $688.00 | $688.00 | |
United
| Facility | $2,257.00 | $5,548.00 | $15,740.00 | |
United
| Professional | $63,402.21 | $63,402.21 | $63,402.21 |