| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,835.00 | $6,835.00 | $6,907.00 | |
Aetna
| Professional | $1,434.31 | $1,807.07 | $1,807.07 | |
United
| Facility | $2,783.00 | $2,783.00 | $2,783.00 | |
United
| Professional | $1,014.89 | $1,316.59 | $2,607.63 |