| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,288.25 | $1,995.26 | $3,090.30 | |
Aetna
| Professional | $1,348.96 | $2,089.30 | $3,311.31 | |
United
| Facility | $2,187.76 | $5,888.44 | $16,982.44 | |
United
| Professional | $1,513.56 | $2,290.87 | $4,466.84 |