| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,235.94 | $3,235.94 | $7,244.36 | |
Aetna
| Professional | $245.47 | $870.96 | $1,148.15 | |
United
| Facility | $151.36 | $151.36 | $954.99 | |
United
| Professional | $575.44 | $776.25 | $1,479.11 |