| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,706.14 | $3,955.04 | $4,937.68 | |
Aetna
| Professional | $1,346.54 | $1,648.22 | $4,404.71 | |
United
| Facility | $3,713.00 | $7,457.00 | $12,945.00 | |
United
| Professional | $1,340.79 | $3,288.87 | $4,915.22 |